Provider Demographics
NPI:1871682195
Name:RAHMANIE, NOORIA POPAL (MD)
Entity Type:Individual
Prefix:
First Name:NOORIA
Middle Name:POPAL
Last Name:RAHMANIE
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 1:2875 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
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME073953207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F48652Medicare UPIN
FL41884BMedicare ID - Type Unspecified