Individual
AYESHA KIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(718) 355-0919
Mailing address
100 BARRON CIR APT 1173, SOMERSET, NJ 08873-3561
(718) 355-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10775900
NJ
208M00000X
Hospitalist Physician
25MA10775900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2017
Last updated
05/29/2024
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