Individual
ASIF BHUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3466 BRIDGELAND DR STE 105, BRIDGETON, MO 63044-2606
(314) 209-5100
Mailing address
PO BOX 8356, SAINT LOUIS, MO 63132-0356
(314) 977-8462
(314) 771-8575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008007521
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2004-012733
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2008007521
MO
Other
Enumeration date
05/16/2008
Last updated
03/15/2021
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