Provider Demographics
NPI:1457441685
Name:DJAVAD T ARANI MD PC
Entity Type:Organization
Organization Name:DJAVAD T ARANI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DJAVAD
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-636-0189
Mailing Address - Street 1:1150 YOUNGS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8053
Mailing Address - Country:US
Mailing Address - Phone:716-636-0189
Mailing Address - Fax:716-636-0261
Practice Address - Street 1:1150 YOUNGS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8053
Practice Address - Country:US
Practice Address - Phone:716-636-0189
Practice Address - Fax:716-636-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111123207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1338Medicare PIN