Healthcare Provider Details

I. General information

NPI: 1528758356
Provider Name (Legal Business Name): ZEINA EL-HOURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN BLVD. CHILDREN'S HOSPITAL OF MICHIGAN PEDIATRIC EDUCATION-ROOM 3T72
DETROIT MI
48201
US

IV. Provider business mailing address

2474 TALL OAKS DR
TROY MI
48098
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-5533
  • Fax:
Mailing address:
  • Phone: 248-765-0441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101289883
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: