Provider Demographics
NPI:1821168451
Name:ABDULKADIR HOURANI MD
Entity Type:Organization
Organization Name:ABDULKADIR HOURANI MD
Other - Org Name:ARIZONA CHEST AND SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULKADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOURANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-344-4111
Mailing Address - Street 1:2051 W 25TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6912
Mailing Address - Country:US
Mailing Address - Phone:928-344-4111
Mailing Address - Fax:
Practice Address - Street 1:2051 W 25TH ST STE C
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6912
Practice Address - Country:US
Practice Address - Phone:928-344-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25270207R00000X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ339221Medicaid
AZZ106606Medicare PIN
H0617Medicare UPIN
AZ339221Medicaid