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NPI Code Detail

MEDICARE: S H BUTT MD INC.

MEDICARE: S H BUTT MD INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35.043284OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013357466
Entity Type Code : Organization
Provider Name (Legal Business Name) : S H BUTT MD INC.
Provider Business Mailing Address
First Line : 18820 BAGLEY RD
Second Line : SUITE 104
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3325
Country : US
Telephone Number : 440-234-4334
Fax Number : 440-234-4335
Provider Business Practice Location Address
First Line : 18820 BAGLEY RD
Second Line : SUITE 104
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3325
Country : US
Telephone Number : 440-234-4334
Fax Number : 440-234-4335
Authorized Official
Title or Position : PRESIDENT
Name : DR. SHAHID BUTT
Credential : M.D.
Telephone Number : 440-234-4334
Provider Enumeration Date : 06/30/2013
Last Update Date : 06/30/2013

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