Impact Physician Group, Montana Llc | |
3572 Hesper Rd Billings MT 59102-6891 | |
(406) 513-6200 | |
Not Available |
Full Name | Impact Physician Group, Montana Llc |
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Speciality | Internal Medicine |
Location | 3572 Hesper Rd, Billings, Montana |
Authorized Official Name and Position | Paul Miller (CEO) |
Authorized Official Contact | 6789675599 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Impact Physician Group, Montana Llc 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group, Montana Llc 3572 Hesper Rd Billings MT 59102-6891 Ph: (406) 513-6200 |
NPI Number | 1578199311 |
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Provider Enumeration Date | 03/12/2020 |
Last Update Date | 12/19/2022 |
Medicare PECOS PAC ID | 8426489741 |
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Medicare Enrollment ID | O20200520001673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578199311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Sarah Malli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861744252 PECOS PAC ID: 8426277757 Enrollment ID: I20140917003009 |
Provider Name | Katie L Ketterling-thornburg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114489093 PECOS PAC ID: 5799016093 Enrollment ID: I20191017002977 |
Provider Name | Saif Choudhury |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1447540943 PECOS PAC ID: 7012133812 Enrollment ID: I20200217004592 |
Provider Name | Kamran Quraishi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417175068 PECOS PAC ID: 0648361568 Enrollment ID: I20200219002741 |
Provider Name | Zubair Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134416019 PECOS PAC ID: 0840410403 Enrollment ID: I20200220000578 |
Provider Name | Jibran K Durrani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750797262 PECOS PAC ID: 8527378850 Enrollment ID: I20200612000397 |
Provider Name | Sheryar Sarwar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730426958 PECOS PAC ID: 0941500714 Enrollment ID: I20210528001096 |
Provider Name | Shannan Patterson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730507740 PECOS PAC ID: 5698049831 Enrollment ID: I20210811000760 |
Provider Name | Victoria Marie Collier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548748296 PECOS PAC ID: 3779971056 Enrollment ID: I20211020000473 |
Provider Name | Taki Rida |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760834147 PECOS PAC ID: 9931485059 Enrollment ID: I20230920003944 |
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