Provider Demographics
NPI:1912969759
Name:IHSANULLAH, SAHIBZADAH MURAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHIBZADAH
Middle Name:MURAD
Last Name:IHSANULLAH
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 1:26845 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3238
Mailing Address - Country:US
Mailing Address - Phone:440-871-7157
Mailing Address - Fax:
Practice Address - Street 1:26845 SLEEPY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3238
Practice Address - Country:US
Practice Address - Phone:440-871-7157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35036170I207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
A74971Medicare UPIN