Provider Demographics
NPI:1265428882
Name:IRANI, KHUSHRU (MD)
Entity type:Individual
Prefix:
First Name:KHUSHRU
Middle Name:
Last Name:IRANI
Suffix:
Gender:M
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:518-688-0123
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:518-688-0123
Practice Address - Fax:518-688-0125
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143963207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology