Internal Medicine
PORNTAWEE APHIVANTRAKUL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124814785 · enumerated 2025-04-18 · record updated 2026-09-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1101 26TH ST S, GREAT FALLS, MT, 59405-5161 Google Maps Apple Maps OpenStreetMap
- Practice location 1101 26TH ST S, GREAT FALLS, MT, 59405-5161 (406) 455-5000 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License MED-RES-LIC-159291 MT
- Internal Medicine 207R00000X · Primary · License 102679-851 WI
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
GREAT FALLS, MT, 594055161
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.