Provider Demographics
NPI:1700975026
Name:NOORIA RAHMANIE MD PA
Entity type:Organization
Organization Name:NOORIA RAHMANIE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOORIA
Authorized Official - Middle Name:POPAL
Authorized Official - Last Name:RAHMANIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-936-5345
Mailing Address - Street 1:2875 NE 191ST STREET
Mailing Address - Street 2:SUITE 803
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2803
Mailing Address - Country:US
Mailing Address - Phone:305-936-5345
Mailing Address - Fax:305-936-5960
Practice Address - Street 1:2875 NE 191ST STREET
Practice Address - Street 2:SUITE 803
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2803
Practice Address - Country:US
Practice Address - Phone:305-936-5345
Practice Address - Fax:305-936-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME073953207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F48652Medicare UPIN
FL41884BMedicare ID - Type Unspecified