Provider Demographics
NPI:1639662547
Name:EMID PLLC
Entity Type:Organization
Organization Name:EMID PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EIAS
Authorized Official - Middle Name:SAMIR
Authorized Official - Last Name:MURAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-439-0274
Mailing Address - Street 1:19841 N 27TH AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4007
Mailing Address - Country:US
Mailing Address - Phone:602-439-0274
Mailing Address - Fax:602-938-3189
Practice Address - Street 1:19841 N 27TH AVE STE 403
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4007
Practice Address - Country:US
Practice Address - Phone:602-439-0274
Practice Address - Fax:480-821-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ45686207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty