Doctor Name: | DR. ABDOLLAH NONE IRAVANI |
NPI Number: | 1457373623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0031538 |
Business Practice Address: | 2106 N. Orange Ave Suite 100 Orange, FL - 32804 |
Business Phone Number: | 4078982811 |
Business Fax Number: | 4078986044 |
Mailing Address: | 225 W Sr 434, Suite 201 LONGWOOD |
State: | FL |
Postal Code: | 327504980 |
Phone Number: | 4078982811 |
Fax Number: | 4078986044 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0031538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |