Provider Demographics
NPI:1982673885
Name:SALIARIS, ANASTASIOS P (MD)
Entity Type:Individual
Prefix:
First Name:ANASTASIOS
Middle Name:P
Last Name:SALIARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:STE 204E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7502
Mailing Address - Country:US
Mailing Address - Phone:410-328-6056
Mailing Address - Fax:
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:STE 204E
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7502
Practice Address - Country:US
Practice Address - Phone:410-328-6056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD60453207RC0000X, 207RC0001X
MT50707207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD621194-03 & 04OtherBLUE CROSS/BLUE SHIELD
MD403090700Medicaid
MDS062-0361OtherBLUE CROSS/BLUE SHIELD - REGIONAL
MDS062-0361OtherBLUE CROSS/BLUE SHIELD - REGIONAL
H96666Medicare UPIN
MDP00764109Medicare PIN