Provider Demographics
NPI:1033120084
Name:BORJIAN, ROYA (MD)
Entity Type:Individual
Prefix:
First Name:ROYA
Middle Name:
Last Name:BORJIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 NE 124TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5423
Mailing Address - Country:US
Mailing Address - Phone:305-895-9233
Mailing Address - Fax:305-895-9274
Practice Address - Street 1:527 NE 124TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5423
Practice Address - Country:US
Practice Address - Phone:305-895-9233
Practice Address - Fax:305-895-9274
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272130900Medicaid
FLI29993Medicare UPIN
FLU4805YMedicare PIN