Provider Demographics
NPI:1902906985
Name:TAHANI SOLIMAN M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:TAHANI SOLIMAN M.D., A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAHANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-583-2247
Mailing Address - Street 1:6526 RUGBY AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4006
Mailing Address - Country:US
Mailing Address - Phone:323-583-2247
Mailing Address - Fax:323-583-2461
Practice Address - Street 1:6526 RUGBY AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4006
Practice Address - Country:US
Practice Address - Phone:323-583-2247
Practice Address - Fax:323-583-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA84641Medicare UPIN
CAA34504Medicare ID - Type Unspecified