Healthcare Provider Details

I. General information

NPI: 1861481228
Provider Name (Legal Business Name): SILVIA D. ORENGO-NANIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 DELAWARE ST SE
MINNEAPOLIS MN
55455-0356
US

IV. Provider business mailing address

516 DELAWARE ST SE
MINNEAPOLIS MN
55455-0356
US

V. Phone/Fax

Practice location:
  • Phone: 612-625-4440
  • Fax: 713-798-4082
Mailing address:
  • Phone: 713-798-6100
  • Fax: 713-798-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number76415
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number76415
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: