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Physician Compare National (NPI:1447540943)

HEALTHCARE PROVIDER: SAIF M CHOUDHURY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1447540943
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7012133812
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20200217004592
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHOUDHURY
Individual professional last name
Provider First Name SAIF
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty HOSPITALIST
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 FAMILY MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties FAMILY MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name IMPACT PHYSICIAN GROUP LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6204199086
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3572 HESPER RD
Group Practice or individual's line 1 address
City BILLINGS
Group Practice or individual's city
State MT
Group Practice or individual's state
Zip Code 591026891
Group Practice or individual's zip code (9 digits when available)
Phone Number 4064136200
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 150089
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 270004
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 BILLINGS CLINIC
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 150056
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 150113
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 270049
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ST VINCENT HEALTHCARE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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