Provider Demographics
NPI:1548233091
Name:VIK, TAMARA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYNN
Last Name:VIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD54522084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD246829OtherMIDLANDS CHOICE
SD370624200OtherDEPT OF LABOR
SD412991044655OtherPREFERRED ONE
SD5452OtherDAKOTACARE
SD57108C030OtherWPS TRICARE
SD7101613Medicaid
SD2361645OtherARAZ/ AMERICA'S PPO
SD28971OtherSANFORD HEALTH PLAN
SDHP54601OtherHEALTHPARTNERS
SD4994771OtherBLUE CROSS
MN548K1VIOtherCC SYSTEMS/ BLUE PLUS
MN040121002OtherPRIMEWEST
ND12200Medicaid
NE46022474352Medicaid
IA2569939Medicaid
MN387173800Medicaid
SD246829OtherMIDLANDS CHOICE
SD412991044655OtherPREFERRED ONE