Provider Demographics
NPI: | 1326435629 |
---|---|
Name: | MURAYI, JUDY-APRIL (MD, RD) |
Entity type: | Individual |
Prefix: | |
First Name: | JUDY-APRIL |
Middle Name: | |
Last Name: | MURAYI |
Suffix: | |
Gender: | F |
Credentials: | MD, RD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 3401 CIVIC CENTER BLVD |
Mailing Address - Street 2: | DIVISION OF PEDIATRIC NUTRITION |
Mailing Address - City: | PHILADELPHIA |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19104 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 267-425-2739 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3401 CIVIC CENTER BLVD |
Practice Address - Street 2: | DIVISION OF PEDIATRIC NUTRITION |
Practice Address - City: | PHILADELPHIA |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19104 |
Practice Address - Country: | US |
Practice Address - Phone: | 267-425-2739 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-04-24 |
Last Update Date: | 2025-06-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
133V00000X | ||
OH | 35.134573 | 208000000X |
PA | MD490222 | 2080P0206X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2080P0206X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |