Healthcare Provider Details

I. General information

NPI: 1801417167
Provider Name (Legal Business Name): ZARNAB RACHEL BUTTA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 270
DENVER CO
80224-2551
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 303-355-1695
  • Fax: 303-355-1834
Mailing address:
  • Phone: 303-355-1695
  • Fax: 303-355-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD.0000959
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: