Basic Information
| Provider Information | |||||||||
| NPI: | 1104039742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RANJBARAN-JAHROMI | ||||||||
| FirstName: | HOOMAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4820 W TAFT RD | ||||||||
| Address2: | #209 | ||||||||
| City: | LIVERPOOL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130882800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154486215 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4820 W TAFT RD | ||||||||
| Address2: | #209 | ||||||||
| City: | LIVERPOOL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130882800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154486215 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2007 | ||||||||
| LastUpdateDate: | 09/10/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 265217 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.