Provider Demographics
NPI:1306931753
Name:BAIRAN, AURORA CHUA (MD)
Entity type:Individual
Prefix:DR
First Name:AURORA
Middle Name:CHUA
Last Name:BAIRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 MADISON AVENUE
Mailing Address - Street 2:SIUTE 9NW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-683-4103
Mailing Address - Fax:212-683-1953
Practice Address - Street 1:161 MADISON AVENUE
Practice Address - Street 2:SIUTE 9NW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-683-4103
Practice Address - Fax:212-683-1953
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117251208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics