Provider Demographics
NPI:1538238555
Name:MURARKA, RADHEY S (MD)
Entity type:Individual
Prefix:
First Name:RADHEY
Middle Name:S
Last Name:MURARKA
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:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-0427
Mailing Address - Country:US
Mailing Address - Phone:301-762-0785
Mailing Address - Fax:301-762-0449
Practice Address - Street 1:50 W EDMONSTON DR
Practice Address - Street 2:SUITE 604
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1228
Practice Address - Country:US
Practice Address - Phone:301-762-0785
Practice Address - Fax:301-762-0449
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD29816207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA146325OtherANTHEM HEALTHKEEPERS, INC
MD25-00550OtherUNITEDHEALTHCARE OF THE MID-ATLANTIC
MD545676OtherAETNA PPO
MD929006OtherMDIPA
MD53449406OtherCAREFIRST BCBS
MD218661600Medicaid
DCJ612-0001OtherCAREFIRST BCBS
MDP00317742OtherRAILROAD MEDICARE
MD3611014OtherAETNA HMO
MD4079118003OtherCIGNA
MD01052780OtherAMERIGROUP COMMUNITY CARE
MD1357556OtherUNITED HEALTHCARE
MD929006OtherONE NET PPO
MD929006OtherOPTIMUM CHOICE INC
DCJ612-0001OtherCAREFIRST BCBS
MDA60653Medicare UPIN