Provider Demographics
NPI:1922738749
Name:MURALIDHARAN, ABILASH (MD)
Entity Type:Individual
Prefix:DR
First Name:ABILASH
Middle Name:
Last Name:MURALIDHARAN
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 1:4001 N 3RD STREET, CREIGHTON UNIVERSITY
Mailing Address - Street 2:SUITE 290
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012
Mailing Address - Country:US
Mailing Address - Phone:602-812-3132
Mailing Address - Fax:
Practice Address - Street 1:ST. JOSEPH'S HOSPITAL AND MEDICAL CETNER
Practice Address - Street 2:350 W THOMAS ROAD
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013
Practice Address - Country:US
Practice Address - Phone:602-406-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program