MEDICARE: MURUVET ELKAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	81430	GA

General Provider Information

NPI Number	:	1326284548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURUVET ELKAY MD

Provider Business Mailing Address
First Line	:	975 JOHNSON FERRY RD STE 340
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-4735
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:	404-785-4750

Provider Business Practice Location Address
First Line	:	975 JOHNSON FERRY RD STE 340
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-4735
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:	404-785-4750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	06/06/2022

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