Healthcare Provider Details

I. General information

NPI: 1922021930
Provider Name (Legal Business Name): MICHAEL R HOURANI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GREENLAWN SUITE 230
LANSING MI
48910
US

IV. Provider business mailing address

405 W GREENLAWN SUITE 230
LANSING MI
48910
US

V. Phone/Fax

Practice location:
  • Phone: 517-485-8217
  • Fax: 517-485-3871
Mailing address:
  • Phone: 517-485-8217
  • Fax: 517-485-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL R HOURANI
Title or Position: OWNER
Credential: MD
Phone: 517-485-8217