Provider Demographics
NPI:1841494424
Name:OHANIAN, MARO NONESUPPLIED (DO)
Entity type:Individual
Prefix:DR
First Name:MARO
Middle Name:NONESUPPLIED
Last Name:OHANIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT # 425
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:713-792-7305
Mailing Address - Fax:713-792-4297
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT # 425
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-7305
Practice Address - Fax:713-792-4297
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10026403207R00000X
TXN2696207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX322162401OtherMEDICAID TPI
3864783230OtherMYUTMB 3864783230-COMMERCIAL NUMBER
3864783230OtherMYUTMB 3864783230-COMMERCIAL NUMBER