Provider Demographics
NPI:1285943696
Name:SHAHIN, SULIMAN YOUSIF (BDS)
Entity type:Individual
Prefix:
First Name:SULIMAN
Middle Name:YOUSIF
Last Name:SHAHIN
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:SULIMAN
Other - Middle Name:YOUSIF
Other - Last Name:SHAHIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BDS
Mailing Address - Street 1:10510 PARK LN
Mailing Address - Street 2:APT 210
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1740
Mailing Address - Country:US
Mailing Address - Phone:617-943-9391
Mailing Address - Fax:
Practice Address - Street 1:2124 CORNELL RD
Practice Address - Street 2:CWRU SCHOOL OF DENTAL MEDICINE- GRADUATE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3804
Practice Address - Country:US
Practice Address - Phone:216-368-4331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-03
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL110211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics