Provider Demographics
NPI:1790342574
Name:ERANI, PC
Entity Type:Organization
Organization Name:ERANI, PC
Other - Org Name:ONDUO PROFESSIONALS OF ALASKA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ERANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:833-446-6386
Mailing Address - Street 1:55 CHAPEL ST STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1074
Mailing Address - Country:US
Mailing Address - Phone:833-446-6386
Mailing Address - Fax:
Practice Address - Street 1:55 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1060
Practice Address - Country:US
Practice Address - Phone:833-446-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center