Provider Demographics
NPI:1215977046
Name:ARANI, DJAVAD T (MD)
Entity type:Individual
Prefix:DR
First Name:DJAVAD
Middle Name:T
Last Name:ARANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 822
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-0822
Mailing Address - Country:US
Mailing Address - Phone:716-649-0887
Mailing Address - Fax:716-646-4611
Practice Address - Street 1:18 LIMESTONE DR 9
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8602
Practice Address - Country:US
Practice Address - Phone:716-636-0189
Practice Address - Fax:716-636-0190
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111123207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY060004770OtherRAILROAD MEDICARE
NY00010005602OtherUNIVERA
NY00677761Medicaid
NY2100439OtherINDEPENDENT HEALTH
NY000510205001OtherWNY BLUE CROSS BLUE SHIEL
NY00677761Medicaid
NY060004770OtherRAILROAD MEDICARE