Provider Demographics
NPI:1811969348
Name:SULIMAN, YASIR (MD)
Entity type:Individual
Prefix:
First Name:YASIR
Middle Name:
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 1:3537 S INTERSTATE 35 E
Mailing Address - Street 2:SUITE 305
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6800
Mailing Address - Country:US
Mailing Address - Phone:940-566-0881
Mailing Address - Fax:940-387-7588
Practice Address - Street 1:3537 S INTERSTATE 35 E
Practice Address - Street 2:SUITE 305
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6800
Practice Address - Country:US
Practice Address - Phone:940-566-0881
Practice Address - Fax:940-387-7588
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM45712086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I23299Medicare UPIN
TXPENDINGMedicare ID - Type Unspecified