Basic Information
| Provider Information | |||||||||
| NPI: | 1598966715 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUTT | ||||||||
| FirstName: | QASIM | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5575 DTC PKWY | ||||||||
| Address2: | STE 225 | ||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801113073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033901926 | ||||||||
| FaxNumber: | 8663686349 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 W 8TH AVE STE 1000 | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992042327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094744500 | ||||||||
| FaxNumber: | 5092277070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2007 | ||||||||
| LastUpdateDate: | 06/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N7528 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 04-46074 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | N7528 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | MD61272007 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 208M00000X | 04-46074 | KS | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.