Individual
JAVED BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE STREET, DEPT OF CARDIOLOGY, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
26174
MS
207RC0000X
Cardiovascular Disease Physician
31361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083484803A
—
GA
05
—
3836286
—
TN
05
—
64722093
—
KY
Enumeration date
07/05/2006
Last updated
04/11/2019
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