Mr Unknown Shisram, MSCMH, DSM, DMH in Pago Pago, AS - Psychiatry & Neurology

Mr Unknown Shisram, MSCMH, DSM, DMH is a Psychiatry & Neurology - Psychiatry physician based in Pago Pago, American Samoa. Mr Unknown Shisram is licensed to practice in American Samoa (license number 2182-C) and his current practice location is 96799 Turner Drive, Pago Pago, American Samoa. He can be reached at his office (for appointments etc.) via phone at (684) 633-1222.

NPI number for Mr Unknown Shisram is 1952758096 and his current mailing address is Po Box Lbj, Pago Pago, American Samoa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952758096.

Contact Information

	Mr Unknown Shisram, MSCMH, DSM, DMH
	96799 Turner Drive, Pago Pago, AS 96799-9994
	(684) 633-1222
	(684) 633-2893

Physician's Profile

Full Name	Mr Unknown Shisram
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	96799 Turner Drive, Pago Pago, American Samoa
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1952758096
Provider Enumeration Date: 05/18/2016
Last Update Date: 05/18/2016

Medical Identifiers

Medical identifiers for Mr Unknown Shisram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952758096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	2182-C (American Samoa)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Unknown Shisram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Unknown Shisram, MSCMH, DSM, DMH Po Box Lbj, Pago Pago, AS 96799-9994 Ph: (684) 633-1222	Mr Unknown Shisram, MSCMH, DSM, DMH 96799 Turner Drive, Pago Pago, AS 96799-9994 Ph: (684) 633-1222

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Mr Unknown Shisram, MSCMH, DSM, DMH - Psychiatry & Neurology in Pago Pago, AS