Provider Demographics
NPI:1982992475
Name:HAURANI, CHADY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHADY
Middle Name:
Last Name:HAURANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21600 HARPER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2242
Mailing Address - Country:US
Mailing Address - Phone:248-720-8322
Mailing Address - Fax:586-800-1002
Practice Address - Street 1:19601 E 8 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1655
Practice Address - Country:US
Practice Address - Phone:586-800-1001
Practice Address - Fax:586-800-1002
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099328208600000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery