Healthcare Provider Details

I. General information

NPI: 1124479159
Provider Name (Legal Business Name): CHIRIN ORABI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 17TH ST
SAINT CLOUD FL
34769-6006
US

IV. Provider business mailing address

1414 KUHL AVE # MP38
ORLANDO FL
32806-2008
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5270
  • Fax: 321-843-5177
Mailing address:
  • Phone: 321-842-4713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME158165
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number207RP1001X
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME158165
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: