Healthcare Provider Details

I. General information

NPI: 1720041148
Provider Name (Legal Business Name): MICHAEL R MURNANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 01/05/2022
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 N HAMILTON RD STE 120
GAHANNA OH
43230-8707
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-5000
  • Fax: 614-533-0101
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.048330
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35048330M
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: