Bhutta, Tayyab Fayyaz

Bhutta, Tayyab Fayyaz is an sole proprietor health care provider with primary practice located at 1850 N Columbia St Suite 3, Milledgeville GA 31061-2385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bhutta, Tayyab Fayyaz can be contacted via phone (478) 453-4101.

Contact Information

Primary practice address
1850 N Columbia St Suite 3 Milledgeville GA 31061-2385
Phone: (478) 453-4101
Fax: (478) 453-4105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 048335 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 048335 Georgia

Profile Details

NPI number 1063503233
LBN Legal business name Bhutta, Tayyab Fayyaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Nov 4th, 2013 - about 12 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 1063503233 NPPES
Georgia MEDICAID 00850957A

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