Shamso Iman

NPI 1386412229 · on the registry since 2023

Practice

Address: 1908 Kruchten Ct S
Sartell, MN 56377
Phone: (320) 640-7660
Fax: (320) 774-1104
Organisation at this address: Mend Recovery Services Llc
Foundations Autism Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 162

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 106S00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota