Provider Demographics
NPI:1174514640
Name:VIRANI, ASHARAF JAMAL (MD)
Entity type:Individual
Prefix:DR
First Name:ASHARAF
Middle Name:JAMAL
Last Name:VIRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHA
Other - Middle Name:JAMAL
Other - Last Name:VIRANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8200 WEDNESBURY LN
Mailing Address - Street 2:SUITE 485
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-771-8756
Mailing Address - Fax:713-981-7019
Practice Address - Street 1:8200 WEDNESBURY LN
Practice Address - Street 2:SUITE 485
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-771-8756
Practice Address - Fax:713-981-7019
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG30533Medicare UPIN
TX0043ADMedicare ID - Type UnspecifiedMCR PROVIDER NUMBER