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NPI 1003174293

NPI 1003174293 : MURAD MEDICAL ASSOCIATES PC : WEST BLOOMFIELD, MI

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General NPI Number Information
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    NPI Number           |    1003174293
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    Entity Type          |    Organization 
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    Legal Business Name  |    MURAD MEDICAL ASSOCIATES PC 
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Dates
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    Enumeration Date     |    04/25/2012
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    Last Update Date     |    06/01/2022
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Provider Practice Location Address
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    Address Line         |    7071 ORCHARD LAKE RD SUITE 220
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    City                 |    WEST BLOOMFIELD
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    State                |    MI
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    Zip                  |    48322-3613
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    Country              |    US
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    Telephone            |    248-855-6033
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    Fax                  |    248-855-6034
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Provider Business Mailing Address
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    Address Line         |    7071 ORCHARD LAKE RD SUITE 220
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    City                 |    WEST BLOOMFIELD
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    State                |    MI
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    Zip                  |    48322-3613
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    Country              |    US
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    Telephone            |    248-855-6033
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    Fax                  |    248-855-6034
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     YAHYA F MURAD 
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    Credential           |    M.D.
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    Telephone            |    248-855-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    4301072265
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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