Provider Demographics
NPI:1205928033
Name:SOLIMAN, IRIS E (MD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:E
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDREN'S PLAZA
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1898
Mailing Address - Country:US
Mailing Address - Phone:937-641-3350
Mailing Address - Fax:937-641-6153
Practice Address - Street 1:1 CHILDREN'S PLAZA
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-3350
Practice Address - Fax:937-641-6153
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10007563207L00000X, 207LP3000X
OH35.094803207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0009555Medicaid
PA001810785Medicaid
MD0737313Medicaid
NJ0009555Medicaid
016692T34Medicare PIN
O39947Medicare UPIN