Healthcare Provider Details

I. General information

NPI: 1962693960
Provider Name (Legal Business Name): MELVIN C. MURPHY, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23077 GREENFIELD RD SUITE 485
SOUTHFIELD MI
48075-3709
US

IV. Provider business mailing address

23077 GREENFIELD RD SUITE 485
SOUTHFIELD MI
48075-3709
US

V. Phone/Fax

Practice location:
  • Phone: 248-552-9050
  • Fax: 248-552-1290
Mailing address:
  • Phone: 248-552-9050
  • Fax: 248-552-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMM041189
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MELVIN MURPHY
Title or Position: OWNER
Credential: M.D.
Phone: 248-552-9050