Provider Demographics
NPI:1023543121
Name:BUXANI, RACHNA
Entity Type:Individual
Prefix:
First Name:RACHNA
Middle Name:
Last Name:BUXANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9270 SW 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2040
Mailing Address - Country:US
Mailing Address - Phone:305-587-8482
Mailing Address - Fax:
Practice Address - Street 1:12651 S DIXIE HWY STE 402
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-5956
Practice Address - Country:US
Practice Address - Phone:305-587-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health