Individual
DR. SABAH DAVID BUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 E DAY RD STE 300, MISHAWAKA, IN 46545-3471
(574) 968-0283
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01056204
IN
2085R0202X
Diagnostic Radiology Physician
69312
WI
2085R0204X
Vascular & Interventional Radiology Physician
01056204
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01056204A
IN
2085R0204X
Vascular & Interventional Radiology Physician
036118865
IL
2085R0204X
Vascular & Interventional Radiology Physician
349747
LA
2085R0204X
Vascular & Interventional Radiology Physician
ME177745
FL
2085R0204X
Vascular & Interventional Radiology Physician
W1952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244109
ANTHEM PTAN
IN
05
—
200394870
—
IN
01
—
300136652
RAILROAD MEDICARE
IN
01
—
959090Z8
MEDICARE PTAN
IN
01
—
P00195786
RAILROAD MEDICARE
IN
Enumeration date
06/03/2006
Last updated
04/07/2026
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