Provider Demographics
NPI:1366421406
Name:MURRAY, KARUNA P (M D)
Entity type:Individual
Prefix:DR
First Name:KARUNA
Middle Name:P
Last Name:MURRAY
Suffix:
Gender:F
Credentials:M D
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 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:704 S WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3528
Practice Address - Country:US
Practice Address - Phone:920-338-6868
Practice Address - Fax:920-338-6869
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313151207V00000X
MO118594207VX0201X
WI82155-20207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10785OtherESSENCE
MO411708OtherHEALTHLINK
MOP00134877OtherRAILROAD MEDICARE
IL074965OtherHEALTH ALLIANCE
MO5446597OtherAETNA
MO007296OtherFMH-EXCLUSIVE CHOICE
MO12678OtherHEALTHCARE USA
MO193301OtherGHP
ABOG-MOCOtherAMERICAN BOARD OF OB/GYN ONCOLOGY
MO204646020Medicaid
MO185884OtherBLUE SHIELD
MO3600328OtherUHC
MO5956097OtherCIGNA
MOG50508OtherMERCY