Healthcare Provider Details

I. General information

NPI: 1831319862
Provider Name (Legal Business Name): NAJIB MURR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15770 PAUL VEGA MD DR STE 206
HAMMOND LA
70403-1475
US

IV. Provider business mailing address

PO BOX 3087 PFS - CREDENTIALING
HAMMOND LA
70404-3087
US

V. Phone/Fax

Practice location:
  • Phone: 985-230-7525
  • Fax: 985-230-7335
Mailing address:
  • Phone: 985-230-1682
  • Fax: 985-230-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01085261A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036-136618
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number328265
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number036-136618
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: