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1558362491

NPI Code Detail

MEDICARE: MARWAN GHAZOUL MD

MEDICARE: MARWAN GHAZOUL 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	036159441	IL
2	208600000X	Surgery Physician	18744	AZ
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	18744	AZ
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35051223	OH

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558362491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARWAN GHAZOUL MD

Provider Business Mailing Address
First Line	:	2929 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8034
Country	:	US
Telephone Number	:	602-470-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 E ROOSEVELT ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-4973
Country	:	US
Telephone Number	:	602-344-5011
Fax Number	:	602-655-9184

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	12/01/2025

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Directions to “ MARWAN GHAZOUL 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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