Provider Demographics
NPI:1952391724
Name:MURAD, UMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:UMAR
Middle Name:
Last Name:MURAD
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 1:270 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:CHAVIES
Mailing Address - State:KY
Mailing Address - Zip Code:41727-9091
Mailing Address - Country:US
Mailing Address - Phone:606-487-8188
Mailing Address - Fax:606-487-0928
Practice Address - Street 1:270 FIRST ST
Practice Address - Street 2:
Practice Address - City:CHAVIES
Practice Address - State:KY
Practice Address - Zip Code:41727-9091
Practice Address - Country:US
Practice Address - Phone:606-487-8188
Practice Address - Fax:606-487-0928
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31685207QA0505X, 207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYF92670Medicare UPIN
KY0701901Medicare PIN
KY110237916Medicare PIN