Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A88033 | CA |
Y | 208600000X | Surgeon | A88033 | CA |
N | 208200000X | Surgeon | A88033 | CA |
N | 208600000X | Surgeon | A88033 | CA |
NPI | 1013169085 |
---|---|
Provider Name | Dr. Ahmed Sirageldin Suliman |
First Address | San Diego, CA 92103-1911 |
Second Address | San Diego, CA 92103-1911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 10/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A880330 | (05) | CA |