Provider Demographics
NPI:1144008921
Name:GORAYA, MUHAMMAD RIZWAN (PMHNP)
Entity type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:RIZWAN
Last Name:GORAYA
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 SW 129TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3177
Mailing Address - Country:US
Mailing Address - Phone:786-602-0868
Mailing Address - Fax:
Practice Address - Street 1:4385 SW 129TH WAY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3177
Practice Address - Country:US
Practice Address - Phone:786-602-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025214363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health