Healthcare Provider Details

I. General information

NPI: 1164591947
Provider Name (Legal Business Name): SOLIMAN A SOLIMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 N NORTHHILLS BLVD STE 110
FAYETTEVILLE AR
72703-5602
US

IV. Provider business mailing address

3211 N NORTHHILLS BLVD STE 110
FAYETTEVILLE AR
72703-5602
US

V. Phone/Fax

Practice location:
  • Phone: 479-571-4338
  • Fax: 479-571-4015
Mailing address:
  • Phone: 479-571-4338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036107653
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberE7313
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number036107653
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: