Provider Demographics
NPI:1447942172
Name:KHORASANI, DAANISH
Entity type:Individual
Prefix:
First Name:DAANISH
Middle Name:
Last Name:KHORASANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MOHAMMAD
Other - Middle Name:DAANISH
Other - Last Name:KHORASANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1276 FULTON AVE 5TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456
Mailing Address - Country:US
Mailing Address - Phone:718-901-8653
Mailing Address - Fax:718-901-8656
Practice Address - Street 1:1276 FULTON AVE 5TH FLOOR
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456
Practice Address - Country:US
Practice Address - Phone:718-901-8653
Practice Address - Fax:718-901-8656
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program