Individual
MOHAMAD MAROUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27100 CHARDON RD, RICHMOND HEIGHTS, OH 44143-1116
(440) 585-6500
(330) 656-5901
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35075251M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221291
UNISON
OH
01
—
000000381220
ANTHEM
OH
01
—
000000538199
ANTHEM
OH
05
—
1265417117
—
MI
05
—
2225167
—
OH
01
—
415007
WELLCARE
OH
01
—
7858192
AETNA
OH
01
—
BUCKEYE
732690
OH
01
—
P00432291
RAILROAD MEDICARE
OH
Enumeration date
12/14/2005
Last updated
07/05/2011
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