Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Nana Kanzaveli, PA

Individual provider Physician Assistant · NPI 1396960761

Miss. Nana Kanzaveli, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2004, 22 years ago. Practices with Tatiana Khrom MD PC, a 10-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
22
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2797 Ocean Parkway 3rd Fl
Brooklyn, NY 11235-7868
Phone: (718) 615-4000
Fax: (718) 615-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396960761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tatiana Khrom Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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