Provider Demographics
NPI:1528027232
Name:MURRAIN, LUIS A (DO)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:MURRAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7257 N SIERRA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0157
Mailing Address - Country:US
Mailing Address - Phone:253-341-9729
Mailing Address - Fax:253-473-6715
Practice Address - Street 1:7005 N MILBURN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2161
Practice Address - Country:US
Practice Address - Phone:559-493-5197
Practice Address - Fax:559-272-2171
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-008379207V00000X
CA10030207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000363819OtherANTHEM
WA8556227Medicaid
WA8556227Medicaid