Hoshang Irani PA

NPI 1033270954 - Physician Assistant - 363A00000X

NPI Details
NPI 1033270954
Gender Male
Enumeration Date 12/13/2006
Last Updated 07/15/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
611 W. PARK ST.
URBANA IL, 61801, US
Phone (217) 383-3313
Fax (217) 383-4014
Business Location
611 W. PARK ST.
BWPC
URBANA IL, 61801-2500, US
Phone (217) 383-6792
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085002662
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According to our database, Hoshang Irani PA NPI is 1033270954, taxonomy code is 363A00000X and license number is 085002662, license state is located at Illinois. Hoshang Irani PA physically located at 611 W. Park St., Urbana IL, 61801. NPI Number Hoshang Irani PA has the Individual type.

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1033270954 NPI number is provided on an as is basis without warranty of any kind. 1033270954 is maintained by the National Plan & Provider Enumeration System. The contents of Hoshang Irani PA are for informational purposes only.