Individual
ALI K MURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600 NORTH GRAND AVE, SUITE 508, PUEBLO, CO 81003-2757
(719) 595-7040
(719) 595-7045
Mailing address
1600 NORTH GRAND AVE, SUITE 508, PUEBLO, CO 81003-2757
(719) 595-7040
(719) 595-7045
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
49958
CO
207T00000X
Neurological Surgery Physician
A97510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22731555
—
CO
01
—
P00997273
RR MEDICARE
CO
Enumeration date
05/15/2007
Last updated
10/12/2012
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