Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | K2597 | TX |
NPI | 1285624254 |
---|---|
Provider Name | Dr. Amer Suleman |
First Address | Dallas, TX 75230-2506 |
Second Address | Dallas, TX 75230-2506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 26/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104045304 | (05) | TX |
104045305 | (05) | TX |
8R6880 | BCBS (01) | TX |
G46849 | UPIN (01) | TX |
P00228115 | RAIL ROAD MEDICARE (01) | TX |