Theodossy, Suleiman J.

Theodossy, Suleiman J. is an individual health care provider with primary practice located at 275 W Macarthur , Oakland CA 94611-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Theodossy, Suleiman J. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G80049 California

Profile Details

NPI number 1740369891
LBN Legal business name Theodossy, Suleiman J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740369891 NPPES
California MEDICAID 00G800490

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