Healthcare Provider Details

I. General information

NPI: 1366379679
Provider Name (Legal Business Name): AJAYBIR SINGH BUTTAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GRADUATE MEDICAL EDUCATION 7000 SW 62ND AVE, SUITE 401
SOUTH MIAMI FL
33143
US

IV. Provider business mailing address

GRADUATE MEDICAL EDUCATION 7000 SW 62ND AVE, SUITE 401
SOUTH MIAMI FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7761
  • Fax: 305-284-7787
Mailing address:
  • Phone: 305-284-7761
  • Fax: 305-284-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: