Provider Demographics
NPI:1376639781
Name:HORAN, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:HORAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11430 STRAND DRIVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-325-7090
Mailing Address - Fax:
Practice Address - Street 1:20TH STREET & CONSTITUTION AVE, NW
Practice Address - Street 2:HEALTH UNIT
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20551-0001
Practice Address - Country:US
Practice Address - Phone:202-452-3912
Practice Address - Fax:202-736-1978
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD140142083P0500X
MDD00146622083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine