Provider Demographics
NPI:1144480518
Name:PATRICK C MURRAY M D LLC
Entity type:Organization
Organization Name:PATRICK C MURRAY M D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:808-973-3917
Mailing Address - Street 1:1319 PUNAHOU ST
Mailing Address - Street 2:SUITE 910
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1001
Mailing Address - Country:US
Mailing Address - Phone:808-973-3917
Mailing Address - Fax:808-973-3248
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:SUITE 910
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-973-3917
Practice Address - Fax:808-973-3248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD6728207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIB6318-6OtherHMSA
HI054801-01Medicaid
HI054801-01Medicaid