Provider Demographics
NPI:1982609418
Name:GHURANI, GISELLE BARREAU (MD)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:BARREAU
Last Name:GHURANI
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 1:3661 S MIAMI AVE STE 1003
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4214
Mailing Address - Country:US
Mailing Address - Phone:786-558-5095
Mailing Address - Fax:786-558-5710
Practice Address - Street 1:3661 S MIAMI AVE STE 1003
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4214
Practice Address - Country:US
Practice Address - Phone:786-558-5095
Practice Address - Fax:786-558-5710
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84775207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267740700Medicaid
FL267740700Medicaid
FL81260XMedicare PIN