Provider Demographics
NPI:1215968508
Name:MURAKAMI, CRAIG S (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:S
Last Name:MURAKAMI
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 1:1100 9TH AVE
Mailing Address - Street 2:X10-ON
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101
Mailing Address - Country:US
Mailing Address - Phone:206-341-0895
Mailing Address - Fax:206-625-7271
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:X10-ON
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:206-341-0895
Practice Address - Fax:206-625-7271
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026695207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8114498Medicaid
WAMU3331OtherBLUE SHIELD #
WA040014819OtherRAILROAD MC #
WAUS2036624OtherAETNA SPECIALIST PIN
AKMD6695WMedicaid
WA8114498Medicaid
AKF05727Medicare UPIN
AKMD6695WMedicaid