Provider Demographics
NPI:1053432310
Name:SHIRAZIAN, TARANEH (MD)
Entity type:Individual
Prefix:
First Name:TARANEH
Middle Name:
Last Name:SHIRAZIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:BOX 1174
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-9393
Mailing Address - Fax:212-348-7438
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:BOX 1174
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-9393
Practice Address - Fax:212-348-7438
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242481207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology