Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 004047 | NY |
N | 111NI0900X | Internist | 004047 | NY |
N | 207RI0200X | Infectious Disease | 54651 | MN |
Y | 207RI0200X | Infectious Disease | MD462655 | PA |
NPI | 1053540955 |
---|---|
Provider Name | Dr. Nana Aburjania |
First Address | Rochester, MN 55905-0001 |
Second Address | Philadelphia, PA 19107-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 25/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03475647 | (05) | NY |