| Atta U Butt Pa | |
|
3190 N Mcmullen Booth Rd Suite 201 Clearwater FL 33761-2013 | |
| (727) 741-5538 | |
| Not Available |
| Full Name | Atta U Butt Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3190 N Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Atta U Butt (OWNER) |
| Authorized Official Contact | 7277415538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atta U Butt Pa 3009 Northfield Dr Tarpon Springs FL 34688-9124 Ph: (727) 741-5538 | Atta U Butt Pa 3190 N Mcmullen Booth Rd Suite 201 Clearwater FL 33761-2013 Ph: (727) 741-5538 |
| NPI Number | 1871723288 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 07/24/2009 |
| Medicare PECOS PAC ID | 9436296985 |
|---|---|
| Medicare Enrollment ID | O20091102000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871723288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME87687 (Florida) | Primary |
| Provider Name | Atta U Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083727317 PECOS PAC ID: 0749262871 Enrollment ID: I20040807000015 |
| Provider Name | Lisa M Lauderdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043551328 PECOS PAC ID: 7618102500 Enrollment ID: I20131031000323 |
| Provider Name | Sana Kaleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780099929 PECOS PAC ID: 3375800121 Enrollment ID: I20171201002698 |
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