Raza Neurospine, PLLC.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

RAZA NEUROSPINE, PLLC.

Practice address

908 SW 113TH Way
Pembroke Pines, FL 33025-3710

Phone

(989) 327-4408

NPI assigned

Apr 30, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Diyan Mohammad Raza, MDNPI 1588227946

Title

Provider

Phone

(989) 327-4408

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diyan M Raza, MD

  • Interventional Pain Medicine Physician
  • Seattle, WA
  • NPI 1588227946

  FL, Neurology

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1912795709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SW 113TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253710",
            "telephone_number": "989-327-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SW 113TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253710",
            "telephone_number": "989-327-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA NEUROSPINE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "DIYAN",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "989-327-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Ione Ravagnani Souza Barros, PTA
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• Ray Kim DPM PA
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• Jyotishankar Raychaudhuri, MD, MBBS
• RB Global Trading Corp
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• Rd Nutrition Associates
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• Ready, Set, Grow Pediatric Therapies, PLLC

• Neurology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.