Healthcare Provider Details

I. General information

NPI: 1780316935
Provider Name (Legal Business Name): BURHAN ZAHID BUTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5826 SAMET DR STE 101
HIGH POINT NC
27265-3661
US

IV. Provider business mailing address

5826 SAMET DR STE 101
HIGH POINT NC
27265-3661
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6540
  • Fax: 336-878-6541
Mailing address:
  • Phone: 336-878-6540
  • Fax: 336-878-6541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME176097
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025-04200
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: