Basic Information
| Provider Information | |||||||||
| NPI: | 1861586836 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SUNALP | ||||||||
| FirstName: | MURAD | ||||||||
| MiddleName: | ALI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 880 E MERRITT AVE | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | TULARE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932742244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596883937 | ||||||||
| FaxNumber: | 8184620991 | ||||||||
| Practice Location | |||||||||
| Address1: | 880 E MERRITT AVE | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | TULARE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932742244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596883937 | ||||||||
| FaxNumber: | 8184620991 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 06/02/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | A36954 | CA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 10974168 | 01 | CA | CAQH NUMBER | OTHER | 00A369540 | 05 | CA | MEDICAID | 32525925 | 01 | CA | EMPLOYER NUMBER | OTHER | ZZZ29091Z | 01 | CA | MEDICARE GROUP NUMBER | OTHER | N3588837 | 01 | CA | DRIVERS LICENSE NUMBER | OTHER | AS1285748 | 01 | CA | DEA REGISTRATION NUMBER | OTHER |