Provider Demographics
NPI:1871558635
Name:MURAD, HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:MURAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 ROSECRANS AVE
Mailing Address - Street 2:EAST TOWER SUITE 6100
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4747
Mailing Address - Country:US
Mailing Address - Phone:310-335-1700
Mailing Address - Fax:310-335-1701
Practice Address - Street 1:2141 ROSECRANS AVE
Practice Address - Street 2:EAST TOWER SUITE 6100
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4747
Practice Address - Country:US
Practice Address - Phone:310-335-1700
Practice Address - Fax:310-335-1701
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17115174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G17115Medicaid
CA00G17115Medicaid
CAWG17115DMedicare ID - Type Unspecified