Butt, Mujtaba I

Butt, Mujtaba I is an individual health care provider with primary practice located at 1465 Kingsley Ave Suite 1101, Orange Park FL 32073-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Butt, Mujtaba I can be contacted via phone (904) 264-9797.

Contact Information

Primary practice address
1465 Kingsley Ave Suite 1101 Orange Park FL 32073-4504
Phone: (904) 264-9797
Fax: (904) 264-4644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME116837 Florida

Profile Details

NPI number 1194819474
LBN Legal business name Butt, Mujtaba I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194819474 NPPES
Georgia MEDICAID 003136488B
Georgia MEDICAID 009259400

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