Healthcare Provider Details

I. General information

NPI: 1043740525
Provider Name (Legal Business Name): RACHID SOULEYE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 HILLS AND DALES RD NW
CANTON OH
44708-6220
US

IV. Provider business mailing address

PO BOX 80690
CANTON OH
44708-0690
US

V. Phone/Fax

Practice location:
  • Phone: 330-491-9675
  • Fax:
Mailing address:
  • Phone: 330-363-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number34.018064
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number04934
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: