Healthcare Provider Details

I. General information

NPI: 1063427441
Provider Name (Legal Business Name): JAMIL S SULIEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-001 KAMEHAMEHA HWY SUITE 314
KANEOHE HI
96744-3711
US

IV. Provider business mailing address

46-001 KAMEHAMEHA HWY SUITE 314
KANEOHE HI
96744-3711
US

V. Phone/Fax

Practice location:
  • Phone: 808-234-0033
  • Fax: 808-234-0055
Mailing address:
  • Phone: 808-234-0033
  • Fax: 808-234-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD7571
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD7571
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: