Individual
AIDIN IRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
127 S 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1978
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254785
NY
207RP1001X
Pulmonary Disease Physician
Primary
8182395-1205
UT
Other
Enumeration date
10/19/2009
Last updated
02/11/2022
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