Individual
DR. MARWAN M BAHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4352
(602) 952-0002
(602) 224-9119
Mailing address
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4352
(602) 952-0002
(602) 778-4565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25435
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25435
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060046890
MEDICARE RAILROAD
AZ
05
—
387292
—
AZ
01
—
5124540
AETNA
AZ
01
—
AZ0819030
BCBS AZ
AZ
Enumeration date
05/27/2005
Last updated
05/10/2021
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