Healthcare Provider Details

I. General information

NPI: 1144337718
Provider Name (Legal Business Name): RASHNA B IRANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

36 J BRADEN THOMPSON RD
FORESTDALE MA
02644-1554
US

V. Phone/Fax

Practice location:
  • Phone: 617-889-8520
  • Fax:
Mailing address:
  • Phone: 508-477-5306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number224873
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: