MEDICARE: DR. MURRAY D CORBIN M.D.

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	207RC0000X	Cardiovascular Disease Physician	0413510	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05049081	OTHER		BCBS KANSAS CITY

General Provider Information

NPI Number	:	1538252937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURRAY D CORBIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 12408
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-0408
Country	:	US
Telephone Number	:	913-299-1394
Fax Number	:	913-299-2208

Provider Business Practice Location Address
First Line	:	1601 MEADOWLARK LN
Second Line	:	SUITE A
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-1266
Country	:	US
Telephone Number	:	913-299-1394
Fax Number	:	913-299-2208

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

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	07/08/2007

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