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NPI Code Detail

MEDICARE: ASAD BUTT MD

MEDICARE: ASAD BUTT MD
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
1207Q00000XFamily Medicine Physician35.143299OH
2207Q00000XFamily Medicine Physician325906NY

General Provider Information

NPI Number : 1679033930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASAD BUTT MD
Provider Business Mailing Address
First Line : PO BOX 746087
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6087
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 2721 BRONXWOOD AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-3642
Country : US
Telephone Number : 718-765-6350
Fax Number : 347-736-0207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 09/27/2023

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Directions to “ ASAD BUTT MD” Practice Location

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