Provider Demographics
NPI:1053310391
Name:HABASH, RANYA GEORGIA (MD)
Entity Type:Individual
Prefix:DR
First Name:RANYA
Middle Name:GEORGIA
Last Name:HABASH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9325 GLADES ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3405
Mailing Address - Country:US
Mailing Address - Phone:561-488-1001
Mailing Address - Fax:
Practice Address - Street 1:9325 GLADES RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3907
Practice Address - Country:US
Practice Address - Phone:561-488-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93252207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL164691OtherGALAXY HEALTH
FL300084OtherAV MED
FLME93252OtherAMERI PLAN
FL16050OtherBLUE CROSS BLUE SHIELD
FL63665OtherGREAT WEST HEALTH CARE
FL9396131OtherPHCS
FL01008910OtherGHI
FL201817723BOtherHUMANA
FLP3656087OtherOXFORD
FL11009OtherDIMENSION
FL297152OtherAMERI GROUP
FLPCS1492OtherPARTNER CARE
FL08-00553OtherUNITED HEALTH CARE
FL7969755OtherAETNA
FLP00299178OtherRAIL ROAD MEDICARE
FL16050ZMedicare PIN
FLI40221Medicare UPIN