Provider Demographics
NPI:1891083937
Name:QAMAR, SUMMERA (MD)
Entity Type:Individual
Prefix:
First Name:SUMMERA
Middle Name:
Last Name:QAMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOLLENBACK LN.
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722
Mailing Address - Country:US
Mailing Address - Phone:406-846-2212
Mailing Address - Fax:
Practice Address - Street 1:1100 HOLLENBACK LN.
Practice Address - Street 2:
Practice Address - City:DEER LODGE
Practice Address - State:MT
Practice Address - Zip Code:59722
Practice Address - Country:US
Practice Address - Phone:406-846-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT34272207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine