Mahmud Sabet Sogge-Kermani, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

391 Issued in MT

Practice address

RR 1 Box 67
Harlem, MT 59526-9705

Phone

(406) 353-3100

Fax

(406) 353-3229

NPI assigned

Nov 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Soheil S Kermani Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1114108743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 67",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269705",
            "telephone_number": "406-353-3100",
            "fax_number": "406-353-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 67",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269705",
            "telephone_number": "406-353-3100",
            "fax_number": "406-353-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGGE-KERMANI",
        "first_name": "MAHMUD",
        "middle_name": "SABET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "391",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOHEIL",
            "last_name": "KERMANI",
            "middle_name": "S",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roberta J Shupe, RN
• Joseph Michael Shurina, RDH
• Barbara B Skoyen
• Irma Faye Skunkcap, LAC
• Bettejo Snider, RT
• Thu Tran
• U S Health Dept of Health & Human Services
• Ijeoma C Uzoho, PHARMD
• Lorilane Walker
• Pamela Wallack, REGISTERED NURSE

• Medical Physician Assistant in Harlem, MT
• Providers in Harlem, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.