Siyaguna, Tharaki

Siyaguna, Tharaki is an individual health care provider with primary practice located at 1547 30Th Ave S , Moorhead MN 56560-5055. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Siyaguna, Tharaki can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
1547 30Th Ave S Moorhead MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6711 Minnesota

Profile Details

NPI number 1821571159
LBN Legal business name Siyaguna, Tharaki
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Oct 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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