Healthcare Provider Details

I. General information

NPI: 1164519955
Provider Name (Legal Business Name): ANGELITO AURE SAJOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 NORTHDALE BLVD NW STE 220
MINNEAPOLIS MN
55433-3046
US

IV. Provider business mailing address

2104 NORTHDALE BLVD NW STE 220
MINNEAPOLIS MN
55433-3046
US

V. Phone/Fax

Practice location:
  • Phone: 763-537-6000
  • Fax: 763-537-6666
Mailing address:
  • Phone: 763-537-6000
  • Fax: 763-537-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number46093
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number46093
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: