Provider Demographics
NPI:1053567594
Name:MICHAEL A SOLIMAN MD INC
Entity type:Organization
Organization Name:MICHAEL A SOLIMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-446-4659
Mailing Address - Street 1:612 W DUARTE RD STE 803
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9249
Mailing Address - Country:US
Mailing Address - Phone:626-446-4659
Mailing Address - Fax:626-446-8731
Practice Address - Street 1:612 W DUARTE RD STE 803
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9249
Practice Address - Country:US
Practice Address - Phone:626-446-4659
Practice Address - Fax:626-446-8731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38897207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA00A38897Medicaid
CAA38897Medicare PIN
CAA00A38897Medicaid