Basic Information
Provider Information
NPI: 1851747935
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SULEMAN
FirstName: SAHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KAPADIA
OtherFirstName: SAHER
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 4848 N GOLDWATER BLVD UNIT 3049
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 852511050
CountryCode: US
TelephoneNumber: 4046109311
FaxNumber:  
Practice Location
Address1: 1601 TRINITY ST STOP A
Address2:  
City: AUSTIN
State: TX
PostalCode: 787121766
CountryCode: US
TelephoneNumber: 8338822737
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/09/2016
LastUpdateDate: 07/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084N0402X63653AZY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


Home