Basic Information
| Provider Information | |||||||||
| NPI: | 1053540955 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABURJANIA | ||||||||
| FirstName: | NANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 1ST ST SW | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072842511 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1015 CHESTNUT ST STE 1020 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159557785 | ||||||||
| FaxNumber: | 2159239362 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2009 | ||||||||
| LastUpdateDate: | 07/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 004047 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | 54651 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 208M00000X | 004047 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RI0200X | MD462655 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 03475647 | 05 | NY | MEDICAID |