Provider Demographics
NPI:1861699159
Name:WAZEERUD-DIN, SULIEMAN AKBAR (MD)
Entity type:Individual
Prefix:
First Name:SULIEMAN
Middle Name:AKBAR
Last Name:WAZEERUD-DIN
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 1:303 PARKWAY DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2343 PRESTON PARK CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-5200
Practice Address - Country:US
Practice Address - Phone:404-759-7351
Practice Address - Fax:313-993-7703
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA60891207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine