Elmubarak, Marwan Gamal

Elmubarak, Marwan Gamal is an sole proprietor health care provider with primary practice located at 2022 E Loma Vista Dr , Tempe AZ 85282-2926. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Elmubarak, Marwan Gamal can be contacted via phone (480) 861-6490.

Contact Information

Primary practice address
2022 E Loma Vista Dr Tempe AZ 85282-2926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 463999 Arizona

Profile Details

NPI number 1376852111
LBN Legal business name Elmubarak, Marwan Gamal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2010
Last updated Sep 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376852111 NPPES
Arizona Other 463999 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

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