Provider Demographics
NPI:1134381742
Name:ABDAL RAHEEM, SULIEMAN (MD)
Entity type:Individual
Prefix:
First Name:SULIEMAN
Middle Name:
Last Name:ABDAL RAHEEM
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 1:282 BENEDICT AVE STE D
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2712
Mailing Address - Country:US
Mailing Address - Phone:419-663-8061
Mailing Address - Fax:419-668-2446
Practice Address - Street 1:282 BENEDICT AVE STE D
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2712
Practice Address - Country:US
Practice Address - Phone:419-663-8061
Practice Address - Fax:419-668-2446
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.097207207RG0100X
ME017837208M00000X
OH35-097207207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist