Provider Demographics
NPI:1588251011
Name:SULAIMAN, SUMAYYA SALEH
Entity type:Individual
Prefix:MS
First Name:SUMAYYA
Middle Name:SALEH
Last Name:SULAIMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 SHALLOW FORD RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-2041
Mailing Address - Country:US
Mailing Address - Phone:703-593-3585
Mailing Address - Fax:
Practice Address - Street 1:1310 SHALLOW FORD RD
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-2041
Practice Address - Country:US
Practice Address - Phone:703-593-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program