Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 34079 | OK |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME146548 | FL |
NPI | 1093005514 |
---|---|
Provider Name | Hoda Butrous |
First Address | Miami, FL 33136-1101 |
Second Address | Miami, FL 33136-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 09/12/2020 |