MEDICARE: NOHA RAOUF SOLIMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	077788	GA

General Provider Information

NPI Number	:	1023066206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOHA RAOUF SOLIMAN

Provider Business Mailing Address
First Line	:	502 E US HIGHWAY 80 STE D
Second Line	:
City	:	BLOOMINGDALE
State	:	GA
Zip	:	31302-9356
Country	:	US
Telephone Number	:	912-999-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 E US HIGHWAY 80 STE D
Second Line	:
City	:	BLOOMINGDALE
State	:	GA
Zip	:	31302-9356
Country	:	US
Telephone Number	:	912-999-7275
Fax Number	:	912-988-3748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	06/01/2024

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Directions to “ NOHA RAOUF SOLIMAN ” Practice Location

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