1437389673 NPI number — FIRDOSE F IRANI CFA

Table of content: FIRDOSE F IRANI CFA (NPI 1437389673)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437389673 NPI number — FIRDOSE F IRANI CFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
IRANI
Provider First Name:
FIRDOSE
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CFA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
IRANI
Provider Other First Name:
FRED
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CFA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1437389673
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
635 NE 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HALLANDALE BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33009-3518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-262-1453
Provider Business Mailing Address Fax Number:
954-457-8584

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
635 NE 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALLANDALE BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33009-3518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-262-1453
Provider Business Practice Location Address Fax Number:
954-457-8584
Provider Enumeration Date:
07/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246ZC0007X , with the licence number:  104767 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)