Provider Demographics
NPI:1437389673
Name:IRANI, FIRDOSE F (CFA)
Entity Type:Individual
Prefix:
First Name:FIRDOSE
Middle Name:F
Last Name:IRANI
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:IRANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFA
Mailing Address - Street 1:635 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3518
Mailing Address - Country:US
Mailing Address - Phone:786-262-1453
Mailing Address - Fax:954-457-8584
Practice Address - Street 1:635 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3518
Practice Address - Country:US
Practice Address - Phone:786-262-1453
Practice Address - Fax:954-457-8584
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104767246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant