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Individual

SHAHID BUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(440) 285-6000

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
35043284B
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
35043284B
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35043284B
OH
208D00000X
General Practice Physician
35043284B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0473116
OH
Enumeration date
10/16/2006
Last updated
10/16/2017
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