Provider Demographics
NPI:1154634947
Name:BUTT, ABID S (MD)
Entity Type:Individual
Prefix:DR
First Name:ABID
Middle Name:S
Last Name:BUTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3999 DUTCHMANS LN STE 2F
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4748
Mailing Address - Country:US
Mailing Address - Phone:502-883-0227
Mailing Address - Fax:502-410-0484
Practice Address - Street 1:3999 DUTCHMANS LN STE 2F
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4748
Practice Address - Country:US
Practice Address - Phone:502-883-0227
Practice Address - Fax:502-410-0484
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-00970207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5915103Medicaid
NCP00917454OtherMEDICARE RAILROAD
NC1585AOtherBCBSNC
NC1585AOtherBCBSNC