Basic Information
Provider Information
NPI: 1184696718
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORABI
FirstName: NOURHAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26901 BEAUMONT BLVD STE 3D
Address2:  
City: SOUTHFIELD
State: MI
PostalCode: 480333849
CountryCode: US
TelephoneNumber: 9475221865
FaxNumber: 9475220307
Practice Location
Address1: 18101 OAKWOOD BLVD
Address2:  
City: DEARBORN
State: MI
PostalCode: 481244089
CountryCode: US
TelephoneNumber: 3135937500
FaxNumber: 3135938840
Other Information
ProviderEnumerationDate: 02/07/2006
LastUpdateDate: 07/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301052166MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home