Provider Demographics
NPI:1356360887
Name:EMRANI, AFSHINE A (MD)
Entity type:Individual
Prefix:
First Name:AFSHINE
Middle Name:A
Last Name:EMRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:401
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-996-4100
Mailing Address - Fax:818-996-0842
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:401
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-996-4100
Practice Address - Fax:818-996-0842
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG80597207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G80597RMedicaid
CA00G80597RMedicaid