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General NPI Number Information
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NPI Number | 1346208873
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Entity Type | Individual
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Provider Name | MANOOCHER SOLEIMANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 222 PIEDMONT AVE STE 6000
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City | CINCINNATI
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State | OH
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Zip | 45219-4231
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Country | US
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Telephone | 513-475-8524
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Fax | 513-475-7327
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone | 505-272-1476
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Fax | 513-245-3449
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-068786
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35-068786
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD2019-0564
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License Number State | NM
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