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NPI Code Detail

MEDICARE: DR. GAURAV MARWAHA M.D.

MEDICARE:  DR. GAURAV  MARWAHA  M.D.
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
12085R0001XRadiation Oncology Physician036-137595IL

General Provider Information

NPI Number : 1669798062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAURAV MARWAHA M.D.
Provider Business Mailing Address
First Line : 500 S PAULINA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3804
Country : US
Telephone Number : 312-942-5751
Fax Number : 312-563-2857
Provider Business Practice Location Address
First Line : 500 S PAULINA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3804
Country : US
Telephone Number : 312-942-5751
Fax Number : 312-563-2857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 07/28/2015

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Directions to “ DR. GAURAV MARWAHA M.D.” Practice Location

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