MEDICARE: ATTA U BUTT PA

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
1	207R00000X	Internal Medicine Physician	ME87687	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871723288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTA U BUTT PA

Provider Business Mailing Address
First Line	:	3009 NORTHFIELD DR
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34688-9124
Country	:	US
Telephone Number	:	727-741-5538
Fax Number	:

Provider Business Practice Location Address
First Line	:	3190 N MCMULLEN BOOTH RD
Second Line	:	SUITE 201
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2013
Country	:	US
Telephone Number	:	727-741-5538
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ATTA U BUTT
Credential	:	MD
Telephone Number	:	727-741-5538

Provider Enumeration Date	:	07/20/2009
Last Update Date	:	07/24/2009

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Directions to “ATTA U BUTT PA ” Practice Location

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