Provider Demographics
NPI:1962852590
Name:SULIMAN, ASHRAF A (MD)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:A
Last Name:SULIMAN
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 1:3490 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-1664
Mailing Address - Country:US
Mailing Address - Phone:619-423-5616
Mailing Address - Fax:619-423-5684
Practice Address - Street 1:3490 PALM AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-1664
Practice Address - Country:US
Practice Address - Phone:619-423-5616
Practice Address - Fax:619-423-5684
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301506172207R00000X
FLME146086207R00000X
MI4301110463207RG0300X
CAA187853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine