MEDICARE: DR. ALI AHMAD SULEIMAN MD

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	174400000X	Specialist	16913	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720167687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI AHMAD SULEIMAN MD

Provider Business Mailing Address
First Line	:	200 E BUNTING LN
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-3678
Country	:	US
Telephone Number	:	304-255-7878
Fax Number	:	304-256-0060

Provider Business Practice Location Address
First Line	:	242 GEORGE ST
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2641
Country	:	US
Telephone Number	:	304-255-7878
Fax Number	:	304-256-0060

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/09/2007

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