# IMDAD H BUTT MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIAGNOSTIC ULTRASOUND CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003118217
- **Authorized official:** DR. IMDAD H BUTT MD (PRESIDENT)
- **Authorized official phone:** (517) 784-0020

## Contact information

- **Practice address:** 2575 SPRING ARBOR RD, SUITE 200, JACKSON, MI 49203-3652
- **Practice address phone:** (517) 784-0020
- **Practice address fax:** (517) 787-8329
- **Mailing address:** 2575 SPRING ARBOR RD, SUITE 200, JACKSON, MI 49203-3652
- **Mailing address phone:** (517) 784-0020
- **Mailing address fax:** (517) 787-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 11/19/2010