Provider Demographics
NPI:1154308781
Name:HILAL, MARWAN A (MD)
Entity Type:Individual
Prefix:
First Name:MARWAN
Middle Name:A
Last Name:HILAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 CENTER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:88 CENTER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2700
Practice Address - Country:US
Practice Address - Phone:440-232-6800
Practice Address - Fax:440-786-8857
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-24
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35054355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0677094Medicaid
OH0677094Medicaid
OH0603735Medicare ID - Type Unspecified