Healthcare Provider Details

I. General information

NPI: 1831232636
Provider Name (Legal Business Name): KHALID A ALHOURANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PLYMOUTH AVE STE 702
FALL RIVER MA
02721-4300
US

IV. Provider business mailing address

203 PLYMOUTH AVE STE 702
FALL RIVER MA
02721-4300
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-4239
  • Fax:
Mailing address:
  • Phone: 508-679-4239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2254031
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number254031
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD12848
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD12848
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: