Nana Aburjania
Individual provider Active NPI Infectious Disease Physician · Philadelphia, PA
NPI 1053540955 · NPPES record last updated Jul 25, 2019
Key facts
- NPI
- 1053540955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- MD462655 (PA)
- Practice address
- 1015 Chestnut St Ste 1020
Philadelphia, PA 19107-4310 - Phone
- (215) 955-7785
- Fax
- (215) 923-9362
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004047 | NY | MD | Internal Medicine Physician |
| MD462655 | PA | MD | Infectious Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 004047 | NY | |
| Infectious Disease Physician | 207RI0200X | 54651 | MN | |
| Hospitalist Physician | 208M00000X | 004047 | NY | |
| Infectious Disease Physician | 207RI0200X | MD462655 | PA | Yes |
Addresses
Primary practice location
1015 Chestnut St Ste 1020
Philadelphia, PA 19107-4310
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 955-7785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03475647 | Medicaid | NY |
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All providers in Philadelphia, PA · Infectious Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.