Provider Demographics
NPI:1033784061
Name:SJAMSU, TENRI ARIANNA (DO)
Entity type:Individual
Prefix:
First Name:TENRI
Middle Name:ARIANNA
Last Name:SJAMSU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VCU MEDICAL CENTER CHILDREN'S PAVILLION
Mailing Address - Street 2:1000 E BROAD ST.
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219
Mailing Address - Country:US
Mailing Address - Phone:804-628-0189
Mailing Address - Fax:804-628-5847
Practice Address - Street 1:VCU MEDICAL CENTER CHILDREN'S PAVILLION
Practice Address - Street 2:1000 E BROAD ST.
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219
Practice Address - Country:US
Practice Address - Phone:804-628-0189
Practice Address - Fax:804-628-5847
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102208503208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics