Provider Demographics
NPI:1821067414
Name:BUTAUD, STEVE V (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:V
Last Name:BUTAUD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 52068
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2068
Mailing Address - Country:US
Mailing Address - Phone:337-233-7174
Mailing Address - Fax:337-269-0981
Practice Address - Street 1:1101 S COLLEGE RD
Practice Address - Street 2:SUITE 307
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3038
Practice Address - Country:US
Practice Address - Phone:337-237-5225
Practice Address - Fax:337-237-5405
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA016913207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1324337Medicaid
B62515Medicare UPIN
LA1324337Medicaid