Provider Demographics
NPI:1285895722
Name:KAUSAR SULEMAN MD PA
Entity type:Organization
Organization Name:KAUSAR SULEMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAUSAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SULEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-333-1062
Mailing Address - Street 1:PO BOX 58835
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8835
Mailing Address - Country:US
Mailing Address - Phone:281-333-1062
Mailing Address - Fax:281-335-4529
Practice Address - Street 1:400 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4235
Practice Address - Country:US
Practice Address - Phone:281-316-6501
Practice Address - Fax:281-335-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9183207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z299Medicare PIN