Provider Demographics
NPI:1538923180
Name:SOLIMAN, OMAR (PA-C)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:HISTORIC NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-6024
Mailing Address - Country:US
Mailing Address - Phone:347-552-5872
Mailing Address - Fax:
Practice Address - Street 1:291 CARTER DR STE B
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5845
Practice Address - Country:US
Practice Address - Phone:844-365-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0012024363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical