Individual
SULIAT NURUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7320
(410) 328-8118
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1720
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R2429
TX
2086X0206X
Surgical Oncology Physician
Primary
D86022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378915801
—
TX
01
—
378915802
MEDICAID CSHCN
TX
Enumeration date
03/23/2010
Last updated
09/19/2018
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