Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. UNKNOWN SHISRAM, MSCMH, DSM, DMH
ActiveMR. UNKNOWN SHISRAM, MSCMH, DSM, DMH is a Psychiatry healthcare provider located in PAGO PAGO, American Samoa. NPI 1952758096 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · PAGO PAGO, AS
Registration Details
- NPI Number
- 1952758096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (10.097052496482 yrs)
- Last Updated
- May 18, 2016
- License
-
2182-C (AS)
Practice Information
- Address
-
96799 TURNER DRIVEPAGO PAGO, AS, 967999994Browse AS providers · Browse ZIP 96799
- Phone
- 6846331222
- Fax
- 6846332893
- Primary Specialty
-
Psychiatry
2084P0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.