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1053536078

NPI Code Detail

MEDICARE: MUHAMMAD R MARWALI MD

MEDICARE: MUHAMMAD R MARWALI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	201401140	NC
2	207RC0000X	Cardiovascular Disease Physician	036.142165	IL
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	01083181A	IN
4	207R00000X	Internal Medicine Physician	036.142165	IL
5	207RC0000X	Cardiovascular Disease Physician	201401140	NC
6	207R00000X	Internal Medicine Physician	01083181A	IN
7	207RC0000X	Cardiovascular Disease Physician	01083181A	IN
8	207RC0000X	Cardiovascular Disease Physician	2010034777	MO
9	207RC0001X	Clinical Cardiac Electrophysiology Physician	036142165	IL
10	207RC0000X	Cardiovascular Disease Physician	57198-20	WI
11	207RC0000X	Cardiovascular Disease Physician	E-5331	AR
12	207RC0001X	Clinical Cardiac Electrophysiology Physician	57198-20	WI
13	207R00000X	Internal Medicine Physician	036.142165	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	336.103555	OTHER	IL	CDS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	57198-20	OTHER	WI	WI LIC
4	036.142165	OTHER	IL	IL LICENSE

General Provider Information

NPI Number	:	1053536078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD R MARWALI MD

Provider Business Mailing Address
First Line	:	PO BOX 735041
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5041
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 GREENBRIER RD
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-6519
Country	:	US
Telephone Number	:	920-288-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	06/02/2026

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Directions to “ MUHAMMAD R MARWALI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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