Individual
SULEIMAN S ALIBHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2227 WOODFORD RD, VIENNA, VA 22182-5084
(703) 855-5218
Mailing address
2227 WOODFORD RD, VIENNA, VA 22182-5084
(703) 855-5218
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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