Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thresiamma Augustine Joseph, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1144214107

Thresiamma Augustine Joseph, MD is a Pediatric Adolescent Medicine Physician in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3585 Lexington Ave N Ste 350
Shoreview, MN 55126-8064
Phone: (651) 484-3942
Fax: (651) 787-0519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 32036 (MN)

Record details

NPI number1144214107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESJuly 13, 2026
Mailing address3585 Lexington Ave N, Ste 350, Shoreview, MN 55126-8064

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