Provider Demographics
NPI:1568249712
Name:IRANI, ANUSHKA (BM BCH DPHIL MRCP)
Entity Type:Individual
Prefix:DR
First Name:ANUSHKA
Middle Name:
Last Name:IRANI
Suffix:
Gender:F
Credentials:BM BCH DPHIL MRCP
Other - Prefix:DR
Other - First Name:ANUSHKA
Other - Middle Name:
Other - Last Name:SONI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BM BCH DPHIL MRCP
Mailing Address - Street 1:4500 SAN PABLO RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1865
Mailing Address - Country:US
Mailing Address - Phone:904-953-2101
Mailing Address - Fax:
Practice Address - Street 1:4500 SAN PABLO RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1865
Practice Address - Country:US
Practice Address - Phone:904-953-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMFC1902207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology