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Zaigham Ashraf Butt

Internal Medicine

Allopathic & Osteopathic Physicians

130 Hawthorne Park, Athens, GA 30606-2147

PECOS Enrollment

This provider is enrolled in PECOS as ZAIGHAM BUTT.

Based on the most recent information from CMS, provider Zaigham Ashraf Butt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1588743728
Provider Type
Individual
Full Name
Butt, Zaigham Ashraf
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/6/2006
Last Updated
9/21/2021

Contact Information

Practice Location

130 Hawthorne Park, Athens, GA 30606-2147

(706) 227-2700

(706) 227-2838

Mailing Location

130 Hawthorne Park, Athens, GA 30606

(706) 227-2700

(706) 227-2838

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 040338 Georgia

Provider Identifiers

ID	Description	Issuer
ID 000667312J	Description Medicaid	Issuer Unlisted Georgia
ID 511I110542	Description Other	Issuer MEDICARE IDENTIFICATION Georgia

Zaigham Ashraf Butt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Townsend, David L

Scott, Donald W

Taylor, Brandon J

Fliegel, Evan J

Shah, Nirvi

Tschepikow, Marla S

Bullecer, May Luz Falcon

Baker, Matthew B

Jeyaretnam, Vinod

Morel, Laurent Marcel