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Individual

SULEIMAN S ALIBHAI

Active
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Individual

SULEIMAN S ALIBHAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA1159
MD
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
0618000774
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009236317
—
VA
01
—
01659I00
INOVA MEDICARE
—
01
—
11125626
CAQH PROVIDER ID
VA
Enumeration date
02/16/2007
Last updated
04/29/2008
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