MEDICARE: DR. MELVIN MOKISO MURRILL MEDICAL DOCTOR

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	2080A0000X	Pediatric Adolescent Medicine Physician	014291	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	720923279	OTHER	LA	TAX IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801800354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN MOKISO MURRILL MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	4560 NORTH BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4043
Country	:	US
Telephone Number	:	225-928-0695
Fax Number	:	225-928-3662

Provider Business Practice Location Address
First Line	:	4560 NORTH BLVD
Second Line	:	SUITE 114
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4043
Country	:	US
Telephone Number	:	225-928-0695
Fax Number	:	225-928-3662

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/28/2014

Similar Medicare Providers

1831196096 — MS. JONI FERGUSON NICKENS NP
Practice Location Address:

4560 NORTH BLVD , STE 101
BATON ROUGE, LA
70806-4043

Practice Phone: 225-341-5901
Practice Fax: 225-341-5903

1700821881 — DR. CHIOMA EBELE OGBUEFI MD
Practice Location Address:

4560 NORTH BLVD , SUITE 108
BATON ROUGE, LA
70806-4043

Practice Phone: 225-201-0751
Practice Fax: 225-706-0173

1821007386 — DIABETES EXPRESS SUPPLY CO. INC
Practice Location Address:

4560 NORTH BLVD STE 102-B
BATON ROUGE, LA
70806-4043

Practice Phone: 225-925-2232
Practice Fax: 225-926-4713

1760595557 — DR. ALEX JUNIUS DAVIS DPM
Practice Location Address:

4560 NORTH BLVD STE 119
BATON ROUGE, LA
70806-4043

Practice Phone: 225-928-7065
Practice Fax: 225-928-7021

1104935204 — ATLAS OPTICAL DISPENSARY, LLC
Practice Location Address:

4560 NORTH BLVD
BATON ROUGE, LA
70806-4043

Practice Phone: 225-927-4837
Practice Fax:

1326122987 — LOUISIANA EXPRESS PHARMACY
Practice Location Address:

4560 NORTH BLVD , SUITE 102
BATON ROUGE, LA
70806-4043

Practice Phone: 225-924-2484
Practice Fax: 225-926-4713

Directions to “ DR. MELVIN MOKISO MURRILL MEDICAL DOCTOR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.