Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036107653 | IL |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 036107653 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | E7313 | AR |
NPI | 1164591947 |
---|---|
Provider Name | Soliman A Soliman |
First Address | Fayetteville, AR 72703-5602 |
Second Address | Fayetteville, AR 72703-5602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036107653 | (05) | IL |
191313001 | (05) | AR |