Branko Saah Tambah

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

BC717912 Issued in MN

Practice address

7970 Brooklyn Blvd Ste 44
Brooklyn Park, MN 55445-2722

Phone

(651) 757-6541

Fax

(651) 842-7269

NPI assigned

Nov 6, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1730059569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 ARDROE AVE",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684747",
            "telephone_number": "651-757-6541",
            "fax_number": "651-842-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 BROOKLYN BLVD STE 44",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "651-757-6541",
            "fax_number": "651-842-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBAH",
        "first_name": "BRANKO",
        "middle_name": "SAAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC717912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.