Healthcare Provider Details

I. General information

NPI: 1427348549
Provider Name (Legal Business Name): IRMAN FORGHANI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

4300 ALTON RD FL 3
MIAMI BEACH FL
33140-2948
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6006
  • Fax:
Mailing address:
  • Phone: 305-535-3300
  • Fax: 305-535-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME128938
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberME128938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: