Provider Demographics
NPI:1659571313
Name:GHURANI, RAMI K (MD)
Entity Type:Individual
Prefix:
First Name:RAMI
Middle Name:K
Last Name:GHURANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3122 NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4328
Mailing Address - Country:US
Mailing Address - Phone:305-477-4575
Mailing Address - Fax:775-822-2039
Practice Address - Street 1:51 SW 42ND AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1770
Practice Address - Country:US
Practice Address - Phone:305-477-4575
Practice Address - Fax:775-822-2039
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2014-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME898652086S0122X
FLDN199661223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000190400Medicaid
FL42617OtherBLUE CROSS BLUE SHIELD
FL42617OtherBLUE CROSS BLUE SHIELD