Individual
TANAPORN RASAMEESORAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(985) 299-3323
(952) 993-1748
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01082567A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
125071614
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
79290
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649534496
NPI
—
Enumeration date
06/26/2012
Last updated
05/15/2025
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