Provider Demographics
NPI:1578546255
Name:IRANI, FARZANA K (MD)
Entity Type:Individual
Prefix:DR
First Name:FARZANA
Middle Name:K
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 1:2210 TROY RD
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-4725
Mailing Address - Country:US
Mailing Address - Phone:518-688-0122
Mailing Address - Fax:518-688-0125
Practice Address - Street 1:2210 TROY RD
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-4725
Practice Address - Country:US
Practice Address - Phone:518-688-0122
Practice Address - Fax:518-688-0125
Is Sole Proprietor?:No
Enumeration Date:2005-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148253207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01143493Medicaid
NYE51420Medicare UPIN
NY38513IMedicare ID - Type Unspecified