Provider Demographics
NPI:1316928849
Name:SOLAIMAN, MAHMOOD (MD)
Entity type:Individual
Prefix:
First Name:MAHMOOD
Middle Name:
Last Name:SOLAIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8186 LARK BROWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6420
Mailing Address - Country:US
Mailing Address - Phone:410-590-8920
Mailing Address - Fax:410-553-2345
Practice Address - Street 1:85 KINDRED WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-590-8920
Practice Address - Fax:410-553-2345
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046282207RG0100X
IL036169629207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD593451601Medicaid
MDF81338Medicare UPIN
MDF81338Medicare ID - Type Unspecified