Cardiovascular Institue of Selma, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29003 Issued in AL

Legal business name

CARDIOVASCULAR INSTITUE OF SELMA, LLC

Practice address

1023 Medical Center Pkwy
Suite 311
Selma, AL 36701-6780

Phone

(334) 875-3588

Fax

(334) 875-3589

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amjad I Butt, MD

Title

Owner

Phone

(334) 875-3588

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1376791806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY",
            "address_2": "SUITE 311",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016780",
            "telephone_number": "334-875-3588",
            "fax_number": "334-875-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY",
            "address_2": "SUITE 311",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016780",
            "telephone_number": "334-875-3588",
            "fax_number": "334-875-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUE OF SELMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-875-3588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "29003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Selma, AL
• Providers in Selma, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.