Individual
DR. MARWAN BAZERBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 444-9904
(614) 445-7293
Mailing address
1602 WYATT WAY, BLACKLICK, OH 43004-9541
(614) 444-9904
(614) 445-7293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-043092-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394756
—
OH
Enumeration date
02/27/2007
Last updated
07/08/2007
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