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1265417117

NPI Code Detail

MEDICARE: MOHAMAD MAROUF MD

MEDICARE: MOHAMAD MAROUF 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	207P00000X	Emergency Medicine Physician	35075251M	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00432291	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7858192	OTHER	OH	AETNA
3	415007	OTHER	OH	WELLCARE
5	BUCKEYE	OTHER	OH	732690
6	000000538199	OTHER	OH	ANTHEM
7	000000381220	OTHER	OH	ANTHEM
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	000000221291	OTHER	OH	UNISON

General Provider Information

NPI Number	:	1265417117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMAD MAROUF MD

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	3RD FLOOR
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27100 CHARDON RD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1116
Country	:	US
Telephone Number	:	440-585-6500
Fax Number	:	330-656-5901

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	07/05/2011

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Directions to “ MOHAMAD MAROUF 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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