Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35137504 | OH |
N | 208000000X | Pediatrician | 35137504 | OH |
N | 208000000X | Pediatrician | 4301105313 | MI |
N | 2080P0201X | Pediatric Allergist | 35137504 | OH |
N | 2080P0201X | Pediatric Allergist | 4301105313 | MI |
NPI | 1013321256 |
---|---|
Provider Name | Marwa El-Bohy |
First Address | Maumee, OH 43537-1800 |
Second Address | Maumee, OH 43537-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 05/05/2020 |