Provider Demographics
NPI:1982659355
Name:BUTT, WASEEM F (MD)
Entity Type:Individual
Prefix:
First Name:WASEEM
Middle Name:F
Last Name:BUTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2223
Mailing Address - Country:US
Mailing Address - Phone:559-225-6100
Mailing Address - Fax:702-791-9331
Practice Address - Street 1:6900 N PECOS RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:702-791-9331
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2023-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK4428207RG0300X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD24852Medicaid
AKMD24852Medicaid