Provider Demographics
NPI:1003875501
Name:MURAD, SIKANDAR (MD)
Entity Type:Individual
Prefix:
First Name:SIKANDAR
Middle Name:
Last Name:MURAD
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 1:802 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2920
Mailing Address - Country:US
Mailing Address - Phone:501-291-2322
Mailing Address - Fax:888-388-5166
Practice Address - Street 1:802 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2920
Practice Address - Country:US
Practice Address - Phone:501-291-2322
Practice Address - Fax:888-388-5166
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4470207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200082420AMedicaid
AR158950001Medicaid
AR5N275OtherBCBS
AR5N275Medicare PIN
AR158950001Medicaid
AR5N275G254Medicare PIN