MEDICARE: ZAIGHAM ASHRAF BUTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	040338	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	511I110542	OTHER	GA	MEDICARE IDENTIFICATION

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588743728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAIGHAM ASHRAF BUTT MD

Provider Business Mailing Address
First Line	:	130 HAWTHORNE PARK
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606
Country	:	US
Telephone Number	:	706-227-2700
Fax Number	:	706-227-2838

Provider Business Practice Location Address
First Line	:	130 HAWTHORNE PARK
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2147
Country	:	US
Telephone Number	:	706-227-2700
Fax Number	:	706-227-2838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	09/21/2021

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