Provider Demographics
NPI:1265696660
Name:ALI, MARWAN M (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:M
Last Name:ALI
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Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:1645 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3832
Mailing Address - Country:US
Mailing Address - Phone:916-603-5600
Mailing Address - Fax:558-154-6848
Practice Address - Street 1:100 HOWE AVE STE 186N
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-8219
Practice Address - Country:US
Practice Address - Phone:916-603-5600
Practice Address - Fax:855-815-4684
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2024-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA125238207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine