Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 43372 | IA |
N | 111NI0900X | Internist | 43372 | IA |
Y | 207RX0202X | Medical Oncology | 68791 | MN |
NPI | 1083046007 |
---|---|
Provider Name | Nusrat Jahan |
First Address | Rochester, MN 55905-0002 |
Second Address | Rochester, MN 55905-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 23/11/2021 |