| Shamala Tamirisa, MD | |
|
9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | |
| (763) 762-8800 | |
| (736) 315-4669 |
| Full Name | Shamala Tamirisa |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9400 Zane Ave N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336311653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5634 (Nebraska) | Primary |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamala Tamirisa, MD 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 | Shamala Tamirisa, MD 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 |
Kavita Jayaswal Bhatnagar, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 888-977-2474 | |
Dr. Trisha Nelson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475 | |
Dr. Joshua David Stein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5500 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8841 Fax: 763-315-6685 | |
Sogand B Ghassemi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5500 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8810 Fax: 763-315-6685 | |
Dr. Thomas Joseph, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8800 Fax: 763-315-3539 | |
Daniel Hosker, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8800 Fax: 763-315-4669 |