Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 20870 | MS |
Y | 204F00000X | Transplant Surgeon | 214355 | NY |
N | 204F00000X | Transplant Surgeon | 4301106429 | MI |
N | 204F00000X | Transplant Surgeon | C52883 | CA |
N | 208200000X | Surgeon | 214355 | NY |
N | 208600000X | Surgeon | 214355 | NY |
NPI | 1023124013 |
---|---|
Provider Name | Dr. Fauzia Khalid Butt |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 12310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 10/01/2018 |