Individual provider · Type 1 NPI

Tanisha Shankar Dussik, DO

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1386490506 Active

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Call (909) 469-5589 Map

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386490506

Tanisha Shankar Dussik, DO's National Provider Identifier is 1386490506, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Jun 12, 2026.