MEDICARE: DR. LINDA JAMAL MURAD DDS

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	1223G0001X	General Practice Dentistry	2901019360	MI

General Provider Information

NPI Number	:	1104902741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA JAMAL MURAD DDS

Provider Business Mailing Address
First Line	:	5059 SPRING MEADOWS DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-6716
Country	:	US
Telephone Number	:	248-835-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	3531 JUNCTION ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48210-3007
Country	:	US
Telephone Number	:	313-897-7155
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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