Provider Demographics
NPI:1013321256
Name:EL-BOHY, MARWA (MD)
Entity Type:Individual
Prefix:
First Name:MARWA
Middle Name:
Last Name:EL-BOHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 MONCLOVA RD STE 230
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1800
Mailing Address - Country:US
Mailing Address - Phone:419-893-7211
Mailing Address - Fax:419-893-8882
Practice Address - Street 1:6005 MONCLOVA RD STE 230
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1800
Practice Address - Country:US
Practice Address - Phone:419-893-7211
Practice Address - Fax:419-893-8882
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301105313208000000X, 2080P0201X
OH35137504208000000X, 2080P0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology