Provider Demographics
NPI:1407964976
Name:MARWAHA, TARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:TARUN
Middle Name:
Last Name:MARWAHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7912 E HAMPSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6498
Mailing Address - Country:US
Mailing Address - Phone:714-279-0009
Mailing Address - Fax:714-241-9109
Practice Address - Street 1:11180 WARNER AVE STE 463
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7505
Practice Address - Country:US
Practice Address - Phone:714-241-9200
Practice Address - Fax:714-241-9109
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA70632207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH 13386Medicare UPIN