Provider Demographics
NPI:1295932424
Name:MURAD, SAMAH RIBHI (MD)
Entity type:Individual
Prefix:DR
First Name:SAMAH
Middle Name:RIBHI
Last Name:MURAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17516 W 158TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6772
Mailing Address - Country:US
Mailing Address - Phone:913-768-0422
Mailing Address - Fax:
Practice Address - Street 1:17516 W 158TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6772
Practice Address - Country:US
Practice Address - Phone:913-768-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-06748208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics