Provider Demographics
NPI:1689551061
Name:ELHAGE, SULIMAN
Entity type:Individual
Prefix:
First Name:SULIMAN
Middle Name:
Last Name:ELHAGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 S HAVANA CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3927
Mailing Address - Country:US
Mailing Address - Phone:720-980-1411
Mailing Address - Fax:
Practice Address - Street 1:5803 S HAVANA CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-3927
Practice Address - Country:US
Practice Address - Phone:720-980-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies