Individual
AYESHA ANWAR BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2112 DUNDALK AVE, BALTIMORE, MD 21222
(410) 288-4800
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D76706
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9999999
DON'T HAVE ONE
MD
Enumeration date
03/17/2011
Last updated
10/04/2022
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