Individual
SHAMALA TAMIRISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(736) 315-4669
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5634
NE
Other
Enumeration date
03/26/2008
Last updated
05/05/2021
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