Individual
DR. AMIR SHAHZAD BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101254410
VA
207RG0100X
Gastroenterology Physician
0101254410
VA
207RG0100X
Gastroenterology Physician
2010-00171
NC
207RG0100X
Gastroenterology Physician
Primary
83986-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281128
—
WI
05
—
1205931144
—
VA
01
—
158MF
BCBSNC
NC
05
—
5914886
—
NC
Enumeration date
09/14/2006
Last updated
08/21/2024
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