Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yan Suleymanov

Individual provider Physician Assistant · NPI 1992282651

Yan Suleymanov is a Physician Assistant in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Prasada Health Center LLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
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Practice location Address checks out

2824 E Indian School Rd Ste 5
Phoenix, AZ 85016-6875
Phone: (602) 840-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 718 E Orangewood Ave, Phoenix, AZ 85020-5042 — (623) 332-4733

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7120 (AZ)

Record details

NPI number1992282651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2018
Last updated in NPPESOctober 23, 2018
Mailing address2824 E Indian School Rd, Phoenix, AZ 85016-6863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Prasada Health Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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