Individual
MARWAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4921
(719) 595-7994
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(773) 595-6086
(719) 595-7994
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DR.0072815
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2021
Last updated
05/07/2024
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