Provider Demographics
NPI:1861660144
Name:MCMURRAY, KARIE T (MD)
Entity type:Individual
Prefix:
First Name:KARIE
Middle Name:T
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E. ROLLING OAKS DR
Mailing Address - Street 2:#260
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1033
Mailing Address - Country:US
Mailing Address - Phone:805-371-4700
Mailing Address - Fax:805-371-4714
Practice Address - Street 1:415 E. ROLLING OAKS DR
Practice Address - Street 2:#260
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1033
Practice Address - Country:US
Practice Address - Phone:805-371-4700
Practice Address - Fax:805-371-4714
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG060307207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G60307Medicaid
E27139Medicare UPIN
CAG60307Medicare PIN