MEDICARE: JAVED SULEMAN M.D. P.C.

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	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1225169956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAVED SULEMAN M.D. P.C.

Provider Business Mailing Address
First Line	:	14305 HILLSIDE AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-3230
Country	:	US
Telephone Number	:	718-297-0440
Fax Number	:

Provider Business Practice Location Address
First Line	:	14305 HILLSIDE AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-3230
Country	:	US
Telephone Number	:	718-297-0440
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAVED SULEMAN
Credential	:	MD
Telephone Number	:	347-249-0768

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/24/2007

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