Provider Demographics
NPI:1295021855
Name:IRANI, ROXANNA A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROXANNA
Middle Name:A
Last Name:IRANI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 16TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2549
Mailing Address - Country:US
Mailing Address - Phone:203-785-2671
Mailing Address - Fax:203-785-6885
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:YALE UNIVERSITY SCHOOL OF MEDICINE, DEPT OF OB/GYN
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-2671
Practice Address - Fax:203-785-6885
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT199401207V00000X
CAA155578207VM0101X, 207V00000X
CT54249207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology