MEDICARE: DR. RANYA GEORGIA HABASH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME 93252	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
15	P00299178	OTHER	FL	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	164691	OTHER	FL	GALAXY HEALTH
2	300084	OTHER	FL	AV MED
3	ME93252	OTHER	FL	AMERI PLAN
4	16050	OTHER	FL	BLUE CROSS BLUE SHIELD
5	63665	OTHER	FL	GREAT WEST HEALTH CARE
6	9396131	OTHER	FL	PHCS
7	01008910	OTHER	FL	GHI
8	201817723B	OTHER	FL	HUMANA
9	P3656087	OTHER	FL	OXFORD
10	11009	OTHER	FL	DIMENSION
11	297152	OTHER	FL	AMERI GROUP
12	PCS1492	OTHER	FL	PARTNER CARE
13	08-00553	OTHER	FL	UNITED HEALTH CARE
14	7969755	OTHER	FL	AETNA
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053310391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANYA GEORGIA HABASH M.D.

Provider Business Mailing Address
First Line	:	9325 GLADES ROAD
Second Line	:	SUITE 201
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3405
Country	:	US
Telephone Number	:	561-488-1001
Fax Number	:

Provider Business Practice Location Address
First Line	:	9325 GLADES RD
Second Line	:	SUITE 201
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3907
Country	:	US
Telephone Number	:	561-488-1001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	04/12/2016

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