| Vinay K Buttan Md Inc | |
|
166 N Villa St Porterville CA 93257 | |
| (559) 782-1990 | |
| (559) 782-1163 |
| Full Name | Vinay K Buttan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 166 N Villa St, Porterville, California |
| Authorized Official Name and Position | Poonam Buttan (SECRETARY) |
| Authorized Official Contact | 5597820581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinay K Buttan Md Inc 166 N Villa St Porterville CA 93257 Ph: (559) 782-0581 | Vinay K Buttan Md Inc 166 N Villa St Porterville CA 93257 Ph: (559) 782-1990 |
| NPI Number | 1801999404 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 01/16/2008 |
| Medicare PECOS PAC ID | 4183703382 |
|---|---|
| Medicare Enrollment ID | O20080429000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801999404 | NPI | - | NPPES |
| 00A431730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A33656 (California) | Primary |
| 208000000X | Pediatrics | A43173 (California) | Secondary |
| Provider Name | Vinay Kumar Buttan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699840728 PECOS PAC ID: 4789757899 Enrollment ID: I20080723000380 |
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