Individual
DR. MOHAMMAD M MARASHDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1400 N RITTER AVE STE 520, INDIANAPOLIS, IN 46219-3052
(317) 355-1234
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44855
KY
207RI0011X
Interventional Cardiology Physician
Primary
01079667A
IN
207RI0011X
Interventional Cardiology Physician
44855
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44855
LICENSE
KY
05
—
7100184630
—
KY
Enumeration date
09/20/2007
Last updated
06/14/2021
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