Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P8225 | TX |
N | 111NI0900X | Internist | P8225 | TX |
Y | 207RH0003X | Hematology & Oncology | 18027 | NV |
N | 207RH0003X | Hematology & Oncology | P8225 | TX |
NPI | 1043531981 |
---|---|
Provider Name | Dr. Shamail Butt |
First Address | Las Vegas, NV 89193-8978 |
Second Address | Las Vegas, NV 89109-2229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2010 |
Last Update Date | 16/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01879212 | (05) | MS |
0321579 | CIGNA (01) | MS |
10343531981 | (05) | NV |
18027 | STATE LICENSE (01) | NV |
3193817 | UNITED HEALTHCARE (01) | MS |
349273803 | (05) | TX |
349273804 | (05) | TX |
9228588 | AETNA (01) | MS |