Mr Unknown Shisram, MSCMH, DSM, DMH - Psychiatry & Neurology in Pago Pago, AS

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Mr Unknown Shisram, MSCMH, DSM, DMH is a Psychiatry & Neurology - Psychiatry physician based in Pago Pago, American Samoa. Mr Unknown Shisram is licensed to practice in American Samoa (license number 2182-C) and his current practice location is 96799 Turner Drive, Pago Pago, American Samoa. He can be reached at his office (for appointments etc.) via phone at (684) 633-1222.

NPI number for Mr Unknown Shisram is 1952758096 and his current mailing address is Po Box Lbj, Pago Pago, American Samoa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952758096.

Contact Information

Mr Unknown Shisram, MSCMH, DSM, DMH
96799 Turner Drive,
Pago Pago, AS 96799-9994
(684) 633-1222
(684) 633-2893

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Physician's Profile

Full NameMr Unknown Shisram
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location96799 Turner Drive, Pago Pago, American Samoa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952758096
  • Provider Enumeration Date: 05/18/2016
  • Last Update Date: 05/18/2016

Medical Identifiers

Medical identifiers for Mr Unknown Shisram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952758096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2182-C (American Samoa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Unknown Shisram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Unknown Shisram, MSCMH, DSM, DMH
Po Box Lbj,
Pago Pago, AS 96799-9994

Ph: (684) 633-1222		Mr Unknown Shisram, MSCMH, DSM, DMH
96799 Turner Drive,
Pago Pago, AS 96799-9994

Ph: (684) 633-1222

Reviews and Comments


Psychiatry & Neurology Doctors in Pago Pago, AS


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