Physician Compare National (NPI:1437149176)

HEALTHCARE PROVIDER: KHURRAM BUTT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437149176
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789779745
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071005000141
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUTT
	Individual professional last name
Provider First Name	KHURRAM
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	246 N BROADWAY ST
	Group Practice or individual's line 1 address
City	NEW PHILADELPHIA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	446632684
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3303659137
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	361302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRINITY HOSPITAL TWIN CITY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNION HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360070
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y