Provider Demographics
NPI:1225199433
Name:AMIRLAK, IRADJ (MD)
Entity Type:Individual
Prefix:DR
First Name:IRADJ
Middle Name:
Last Name:AMIRLAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMIRATES INTERNATIONAL HOSPITAL
Mailing Address - Street 2:AL KHABISI
Mailing Address - City:AL AIN
Mailing Address - State:ABU DHABI
Mailing Address - Zip Code:18088
Mailing Address - Country:AE
Mailing Address - Phone:0097150-441-4063
Mailing Address - Fax:9713-763-6555
Practice Address - Street 1:EMIRATES INTERNATIONAL HOSPITAL
Practice Address - Street 2:AL KHABISI
Practice Address - City:AL AIN
Practice Address - State:ABU DHABI
Practice Address - Zip Code:18088
Practice Address - Country:AE
Practice Address - Phone:0097150-441-4063
Practice Address - Fax:9713-763-6555
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA82100281PC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281PC2000XHospitalsChronic Disease HospitalChildren