Healthcare Provider Details
I. General information
NPI: 1992564496
Provider Name (Legal Business Name): KIROLOUS SOLIMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/18/2024
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4445 MAGNOLIA AVE
RIVERSIDE CA
92501-4199
US
IV. Provider business mailing address
655 W 8TH ST
JACKSONVILLE FL
32209-6511
US
V. Phone/Fax
- Phone: 951-897-9896
- Fax:
- Phone: 904-244-4230
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: