MEDICARE: MOHSIN QAMER SOLEJA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	Q4291	TX

General Provider Information

NPI Number	:	1811333198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHSIN QAMER SOLEJA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-0813

Provider Business Practice Location Address
First Line	:	9750 HILLWOOD PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1507
Country	:	US
Telephone Number	:	817-697-5620
Fax Number	:	817-379-2024

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2013
Last Update Date	:	09/08/2022

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