Provider Demographics
NPI:1922021930
Name:MICHAEL R HOURANI MD PC
Entity Type:Organization
Organization Name:MICHAEL R HOURANI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOURANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-485-8217
Mailing Address - Street 1:405 W GREENLAWN
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910
Mailing Address - Country:US
Mailing Address - Phone:517-485-8217
Mailing Address - Fax:517-485-3871
Practice Address - Street 1:405 W GREENLAWN
Practice Address - Street 2:SUITE 230
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910
Practice Address - Country:US
Practice Address - Phone:517-485-8217
Practice Address - Fax:517-485-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OP14520Medicare ID - Type Unspecified