Individual
MOHAMMED ELSHIEKH ELJACK SULIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332
(623) 327-7313
(623) 327-5437
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 876-6965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41025
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390503
—
AZ
01
—
P00681722
MEDICARE RAILROAD#
AZ
Enumeration date
06/29/2008
Last updated
12/04/2009
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