Provider Demographics
NPI:1659484772
Name:PAIDIPATY, BUTCHI BABU (MD)
Entity Type:Individual
Prefix:DR
First Name:BUTCHI
Middle Name:BABU
Last Name:PAIDIPATY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-2551
Mailing Address - Country:US
Mailing Address - Phone:989-907-8000
Mailing Address - Fax:989-907-7766
Practice Address - Street 1:1015 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-2556
Practice Address - Country:US
Practice Address - Phone:989-907-7636
Practice Address - Fax:989-907-7584
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBP041446207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0995262OtherHEALTH PLUS
MI1659484772Medicaid
0G30184OtherBCBS OF MICHIGAN
MI1659484772Medicaid
MI0995262OtherHEALTH PLUS