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NPI Code Detail

MEDICARE: BUSHRA SULIEMAN

MEDICARE: BUSHRA SULIEMAN
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
1207R00000XInternal Medicine Physician34525IA
2207RG0100XGastroenterology Physician31836KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115411OTHERKSPHS
2105598OTHERKSBCBS

General Provider Information

NPI Number : 1811987324
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUSHRA SULIEMAN
Provider Business Mailing Address
First Line : PO BOX 8035
Second Line :
City : WICHITA
State : KS
Zip : 67208-0035
Country : US
Telephone Number : 316-689-9135
Fax Number : 316-689-9102
Provider Business Practice Location Address
First Line : 3311 E MURDOCK ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-3054
Country : US
Telephone Number : 316-689-9590
Fax Number : 316-689-9798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 07/13/2007

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Directions to “ BUSHRA SULIEMAN ” Practice Location

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