Provider Demographics
NPI:1962486753
Name:BUTO, STEPHEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:K
Last Name:BUTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:STE 105
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2401
Mailing Address - Country:US
Mailing Address - Phone:808-524-7676
Mailing Address - Fax:808-524-3899
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:STE 105
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2401
Practice Address - Country:US
Practice Address - Phone:808-524-7676
Practice Address - Fax:808-524-3899
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2012-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI7479207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06898002Medicaid
HI00A0089530OtherHMSA
H50123Medicare ID - Type Unspecified
E24565Medicare UPIN