Provider Demographics
NPI:1912316878
Name:ABDULAAL, MARWAN (MD)
Entity Type:Individual
Prefix:
First Name:MARWAN
Middle Name:
Last Name:ABDULAAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 WESSEL DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3668
Mailing Address - Country:US
Mailing Address - Phone:513-858-6500
Mailing Address - Fax:
Practice Address - Street 1:563 WESSEL DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3668
Practice Address - Country:US
Practice Address - Phone:513-858-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35147100207W00000X
TXT0680207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology