Provider Demographics
NPI:1003174293
Name:MURAD MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:MURAD MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAHYA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MURAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-855-6033
Mailing Address - Street 1:7071 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3613
Mailing Address - Country:US
Mailing Address - Phone:248-855-6033
Mailing Address - Fax:248-855-6034
Practice Address - Street 1:7071 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3613
Practice Address - Country:US
Practice Address - Phone:248-855-6033
Practice Address - Fax:248-855-6034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072265207R00000X
207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H70088OtherBCBS OF MI
MI1003174293Medicaid
MI21244OtherMERIDIAN HEALTH PLAN
MIH36078Medicare UPIN
MI1003174293Medicaid