Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 54249 | CT |
N | 207V00000X | Obstetrician & Gynecologist | A155578 | CA |
N | 207V00000X | Obstetrician & Gynecologist | MT199401 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A155578 | CA |
NPI | 1295021855 |
---|---|
Provider Name | Dr. Roxanna A Irani |
First Address | San Francisco, CA 94143-2549 |
Second Address | New Haven, CT 06510-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 25/07/2018 |