Thresiamma Augustine Joseph
MD | Pediatric Adolescent Medicine | Female
Thresiamma Augustine Joseph, MD is a Shoreview, Minnesota based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Thresiamma Augustine Joseph is
3585 Lexington Ave N, Ste 350, Shoreview, Minnesota - 55126-8064. She can be contacted on phone at
651-484-3942 and fax number 651-787-0519.
Thresiamma Augustine Joseph is a sole proprietor of her business.
NPI number (Unique professional ID) for Thresiamma Augustine Joseph is
1144214107 which was assigned by NPPES on 07 Sep, 2005 and it was last updated on 08 Jul, 2007.
Thresiamma Augustine Joseph license number is
32036 for Pediatrics Adolescent Medicine (2080A0000X) in Minnesota.
Thresiamma Augustine Joseph specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Thresiamma Augustine Joseph basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Thresiamma Augustine Joseph |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Thresiamma Augustine Joseph address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3585 Lexington Ave N, Ste 350
Shoreview, MN, 55126-8064
United States |
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| Phone Number : | 651-484-3942 |
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| Fax Number : | 651-787-0519 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144214107 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Sep, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thresiamma Augustine Joseph are as mentioned. Primary taxonomy code for Thresiamma Augustine Joseph, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 32036 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Thresiamma Augustine Joseph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 299L3J0 | Other | MN | BLUE CROSS BLUE SHEILD |
| CP9090199004 | Other | MN | PREFERRED ONE |
| 1201379 | Other | MN | MEDICA |
| 1203070 | Other | MN | MEDICA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3585 Lexington Ave N, Ste 350
Shoreview, MN, 55126-8064
United States |
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| Phone Number : | 651-251-5280 |
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| Fax Number : | 651-251-5282 |
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Business Location:
Patients can refer following map for directions to
Thresiamma Augustine Joseph practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.