Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101036524 | VA |
N | 2080P0201X | Pediatric Allergist | 0101036524 | VA |
NPI | 1235233669 |
---|---|
Provider Name | Dr. Anne-Marie A Irani |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-0646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6797661 | (05) | VA |
E58982 | (02) |