MEDICARE: DR. MOHAMMED SUHAIL D.O.

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	Q8362	TX

General Provider Information

NPI Number	:	1457799355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED SUHAIL D.O.

Provider Business Mailing Address
First Line	:	700 E MARSHALL AVE
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-5580
Country	:	US
Telephone Number	:	903-315-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8220 WALNUT HILL LN STE 600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	214-238-3074
Fax Number	:

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

Provider Enumeration Date	:	06/13/2013
Last Update Date	:	06/27/2024

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