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NPI Code Detail

MEDICARE: SHEHLA M BUTT M.D.

MEDICARE: SHEHLA M BUTT M.D.
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 Physician35049698OH

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 : 1962491761
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEHLA M BUTT M.D.
Provider Business Mailing Address
First Line : 2555 CREEKWOOD CT
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-4056
Country : US
Telephone Number : 937-327-0552
Fax Number :
Provider Business Practice Location Address
First Line : 2555 CREEKWOOD CT
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-4056
Country : US
Telephone Number : 937-327-0552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 01/23/2014

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Directions to “ SHEHLA M BUTT M.D.” Practice Location

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