Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-087774 | OH |
N | 111NI0900X | Internist | 35-087774 | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | 35.087774 | OH |
NPI | 1023059425 |
---|---|
Provider Name | Khalil Murad |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
87788 | (02) |