Provider Demographics
NPI:1265638811
Name:HOURANI, RAYAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYAN
Middle Name:R
Last Name:HOURANI
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 1:300 S PIERCE ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4124
Mailing Address - Country:US
Mailing Address - Phone:586-698-1200
Mailing Address - Fax:586-698-1210
Practice Address - Street 1:300 S PIERCE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4124
Practice Address - Country:US
Practice Address - Phone:586-698-1200
Practice Address - Fax:586-698-1210
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086298207R00000X, 207RC0000X
CAA119614207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease