MEDICARE: SAJANI ABRAHAM APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LC0200X	Critical Care Medicine Nurse Practitioner	AP145120	TX

General Provider Information

NPI Number	:	1952993909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJANI ABRAHAM APRN

Provider Business Mailing Address
First Line	:	6014 PRESERVE LN APT SUITE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7060
Country	:	US
Telephone Number	:	281-839-4596
Fax Number	:

Provider Business Practice Location Address
First Line	:	6551 BERTNER AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2807
Country	:	US
Telephone Number	:	713-790-3311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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