Provider Demographics
NPI:1134506934
Name:MARROUSH, TARIQ S (MD)
Entity type:Individual
Prefix:
First Name:TARIQ
Middle Name:S
Last Name:MARROUSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3201 S MARYLAND PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2426
Mailing Address - Country:US
Mailing Address - Phone:702-796-7150
Mailing Address - Fax:702-796-9071
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:SUITE 460
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0463
Practice Address - Country:US
Practice Address - Phone:702-233-1000
Practice Address - Fax:702-233-1001
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2024-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301107062207R00000X
NV22159207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine