Healthcare Provider Details

I. General information

NPI: 1932202918
Provider Name (Legal Business Name): HISHAM SPIRIDON HOURANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HEALTH LN BLDG 2-D
WARWICK RI
02886-2710
US

IV. Provider business mailing address

2649 STRANG BLVD STE 304
YORKTOWN HEIGHTS NY
10598-2939
US

V. Phone/Fax

Practice location:
  • Phone: 401-736-4646
  • Fax: 401-736-4546
Mailing address:
  • Phone: 914-739-0087
  • Fax: 914-737-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD18404
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: