Provider Demographics
NPI:1538739016
Name:SULEMAN PRIMARY CARE LLC
Entity type:Organization
Organization Name:SULEMAN PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-641-4461
Mailing Address - Street 1:200 W ESPLANADE AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2474
Mailing Address - Country:US
Mailing Address - Phone:504-641-4461
Mailing Address - Fax:504-712-8879
Practice Address - Street 1:200 W ESPLANADE AVE STE 307
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2474
Practice Address - Country:US
Practice Address - Phone:504-641-4461
Practice Address - Fax:504-712-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care