Bahu, Marwan M
Bahu, Marwan M is an individual health care provider with primary practice located at 2777 E Camelback Rd Ste 200 , Phoenix AZ 85016-4352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bahu, Marwan M can be contacted via phone (602) 952-0002.Contact Information
Primary practice address
2777 E Camelback Rd Ste 200
Phoenix AZ 85016-4352
Phone: (602) 952-0002
Fax: (602) 224-9119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25435 | Arizona |
| Other Service Providers / Specialist | 174400000X | 25435 | Arizona |
Profile Details
| NPI number | 1114920618 |
|---|---|
| LBN Legal business name | Bahu, Marwan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | May 10th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114920618 | NPPES |
| Arizona | Other | AZ0819030 | BCBS AZ |
| Arizona | MEDICAID | 387292 | BCBS AZ |
| Arizona | Other | 5124540 | BCBS AZ |
| Arizona | Other | 060046890 | BCBS AZ |
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