Provider Demographics
NPI:1184715435
Name:JUMEAN, RAWAN H (MD)
Entity type:Individual
Prefix:
First Name:RAWAN
Middle Name:H
Last Name:JUMEAN
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 1:8500SW92ND ST 208B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7390
Mailing Address - Country:US
Mailing Address - Phone:305-661-0169
Mailing Address - Fax:305-661-0407
Practice Address - Street 1:8500 SW 92ND ST STE 208B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7390
Practice Address - Country:US
Practice Address - Phone:305-661-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93670174400000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA087880MM6Medicare ID - Type Unspecified
PAI24850Medicare UPIN