Individual
AHMED MARZOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH, PA
Contact information
Practice address
2100 POWELL ST, EMERYVILLE, CA 94608-1826
(510) 350-2500
Mailing address
4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105-6366
(206) 616-4001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA53989
CA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2015
Last updated
09/26/2025
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