Provider Demographics
NPI:1891760187
Name:MURATI, PEDRO ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:ALBERTO
Last Name:MURATI
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 1:9415 E HARRY ST STE 602
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5082
Mailing Address - Country:US
Mailing Address - Phone:316-681-2420
Mailing Address - Fax:316-681-3561
Practice Address - Street 1:9415 E HARRY ST STE 602
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5082
Practice Address - Country:US
Practice Address - Phone:316-681-2420
Practice Address - Fax:316-681-3561
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24294174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCF36554Medicare UPIN
KS016879Medicare ID - Type UnspecifiedMEDICARE