Individual
FAROUG YASSIN MOHMD SULIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 MORRIS ST STE 100, CHARLESTON, WV 25301-1840
(304) 388-7823
Mailing address
415 MORRIS ST STE 100, CHARLESTON, WV 25301-1840
(304) 388-7823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33201
WV
207R00000X
Internal Medicine Physician
37498
IA
207R00000X
Internal Medicine Physician
4301115017
MI
207R00000X
Internal Medicine Physician
LT10348
ND
207RN0300X
Nephrology Physician
33201
WV
207RN0300X
Nephrology Physician
Primary
4301115017
MI
208M00000X
Hospitalist Physician
LT10348
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000577180
ANTHEM
IN
05
—
200907870
—
IN
01
—
P00632890
MEDICARE RAILROAD
IN
Enumeration date
10/02/2006
Last updated
09/26/2025
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