Provider Demographics
NPI:1477546240
Name:SAHOURI, MAJED J (MD)
Entity Type:Individual
Prefix:
First Name:MAJED
Middle Name:J
Last Name:SAHOURI
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:2393 SCHUST RD
Mailing Address - Street 2:GREAT LAKES EYE INSTITUTE
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-1334
Mailing Address - Country:US
Mailing Address - Phone:989-793-2820
Mailing Address - Fax:989-793-9132
Practice Address - Street 1:2393 SCHUST RD
Practice Address - Street 2:GREAT LAKES EYE INSTITUTE
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603
Practice Address - Country:US
Practice Address - Phone:989-793-2820
Practice Address - Fax:989-793-9132
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2023-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4901059284207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI43010059284OtherLICENSE NUMBER
MI180B910450OtherBLUE CROSS
MI2622510Medicaid
MI3256940Medicaid
MI43010059284OtherLICENSE NUMBER
MI3256940Medicaid
MI43010059284OtherLICENSE NUMBER