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Physician Compare National (NPI:1629033378)

HEALTHCARE PROVIDER: ABDULKADIR HOURANI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1629033378
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6507822905
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20041207001282
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HOURANI
Individual professional last name
Provider First Name ABDULKADIR
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty PULMONARY DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 CRITICAL CARE (INTENSIVISTS)
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 SLEEP MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2051 W 25TH ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE C
Group Practice or individual's line 2 address
City YUMA
Group Practice or individual's city
State AZ
Group Practice or individual's state
Zip Code 853646912
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 030013
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 YUMA REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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