Provider Demographics
NPI:1134532252
Name:GURJIT MARWAH MD INC.
Entity type:Organization
Organization Name:GURJIT MARWAH MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GURJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:MARWAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-233-9727
Mailing Address - Street 1:911 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6755
Mailing Address - Country:US
Mailing Address - Phone:805-487-9492
Mailing Address - Fax:805-487-2596
Practice Address - Street 1:911 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6755
Practice Address - Country:US
Practice Address - Phone:805-487-9492
Practice Address - Fax:805-487-2596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50005208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A500050Medicaid
CAA50005Medicare UPIN