Provider Demographics
NPI:1285209882
Name:IRANI, MEHER RUSTOM (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHER
Middle Name:RUSTOM
Last Name:IRANI
Suffix:
Gender:F
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:JAMAICA HOSPITAL MEDICAL CENTER
Mailing Address - Street 2:8900 VAN WYCK EXPRESSWAY
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11418
Mailing Address - Country:US
Mailing Address - Phone:718-206-7708
Mailing Address - Fax:
Practice Address - Street 1:JAMAICA HOSPITAL MEDICAL CENTER
Practice Address - Street 2:8900 VAN WYCK EXPRESSWAY
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-206-7708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program