Healthcare Provider Details

I. General information

NPI: 1831725886
Provider Name (Legal Business Name): ANAM BUTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 LONDON TOWN LN
MCKINNEY TX
75071-0264
US

IV. Provider business mailing address

1009 LONDON TOWN LN
MCKINNEY TX
75071-0264
US

V. Phone/Fax

Practice location:
  • Phone: 224-242-6300
  • Fax:
Mailing address:
  • Phone: 224-242-6620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number192067
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: