Provider Demographics
NPI:1952320178
Name:MOURANY, ADNAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:E
Last Name:MOURANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:29099 HEALTH CAMPUS DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-835-6245
Mailing Address - Fax:440-892-6639
Practice Address - Street 1:29099 HEALTH CAMPUS DR
Practice Address - Street 2:SUITE 250
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-835-6245
Practice Address - Fax:440-892-6639
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35048057207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0637323Medicaid
OH3415261295A01OtherANTHEM BCBS
OH0637323Medicaid
OHA16653Medicare UPIN
OHMO0590121Medicare ID - Type Unspecified