Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 36003505 | OH |
N | 222Z00000X | Podiatrist | 36003505 | OH |
Y | 213E00000X | Podiatrist | POD001192 | GA |
Y | 222Z00000X | Podiatrist | POD001192 | GA |
N | 213EP1101X | Primary Podiatric Medicine | 0620 | AZ |
NPI | 1427014034 |
---|---|
Provider Name | Dr. Craig Allen Murad |
First Address | Decatur, GA 30033-2137 |
Second Address | Decatur, GA 30033-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2006 |
Last Update Date | 18/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2912192 | (05) | OH |