Mr. Unknown Shisram, MSCMH, DSM, DMH

Individual provider Psychiatry Physician · NPI 1952758096

Mr. Unknown Shisram, MSCMH, DSM, DMH is a Psychiatry Physician in Pago Pago, American Samoa. Licensed in American Samoa. Registered with an NPI since 2016.

Licensed in: AS
In the registry since: 2016

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Practice location Address may be wrong

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96799 Turner Dr
Pago Pago, AS 96799-9994
Phone: (684) 633-1222
Fax: (684) 633-2893

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Specialties & licences

Psychiatry Physician (primary)	Taxonomy 2084P0800X · Licence 2182-C (AS)

Record details

NPI number	1952758096
Entity type	Individual (Type 1)
Gender	Male
Credentials	MSCMH , DSM , DMH
Sole proprietor	No
NPI enumerated	May 18, 2016
Last updated in NPPES	May 18, 2016