Butty, Sabah David
Butty, Sabah David is an individual health care provider with primary practice located at 250 E Day Rd Ste 300 , Mishawaka IN 46545-3471. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Butty, Sabah David can be contacted via phone (574) 968-0283.Contact Information
Primary practice address
250 E Day Rd Ste 300
Mishawaka IN 46545-3471
Phone: (574) 968-0283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01056204A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01056204 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 69312 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01056204 | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036118865 | Illinois |
Profile Details
| NPI number | 1770521445 |
|---|---|
| LBN Legal business name | Butty, Sabah David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Apr 3rd, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770521445 | NPPES |
| Indiana | Other | 000000244109 | ANTHEM PTAN |
| Indiana | MEDICAID | 200394870 | ANTHEM PTAN |
| Indiana | Other | 300136652 | ANTHEM PTAN |
| Indiana | Other | 959090Z8 | ANTHEM PTAN |
| Indiana | Other | P00195786 | ANTHEM PTAN |
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