MEDICARE: AFSANEH IGHANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	K4714	TX

General Provider Information

NPI Number	:	1245335793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFSANEH IGHANI MD

Provider Business Mailing Address
First Line	:	PO BOX 404390
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-4390
Country	:	US
Telephone Number	:	615-373-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:	SUITE C-300
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	972-566-6000
Fax Number	:	972-566-6237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/20/2026

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