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Individual

HOSHANG IRANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
611 W. PARK ST., URBANA, IL 61801
(217) 383-3313
(217) 383-4014
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002662
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00362626
RAILROAD
IL
Enumeration date
12/13/2006
Last updated
07/15/2015
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