Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIMON KABUTUTWA, MD
Active Sole ProprietorDR. SIMON KABUTUTWA, MD is a Family Medicine healthcare provider located in GRAND PRAIRIE, Texas. NPI 1437612975 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1437612975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2019 (7.3567731097524 yrs)
- Last Updated
- Sep 18, 2024
- License
-
T9418 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 E PIONEER PKWYGRAND PRAIRIE, TX, 750514958Browse TX providers · Browse ZIP 75051
- Phone
- 9722628211
- Fax
- 9722628311
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| MICHAEL V DAO | MD | 1205838588 |
| BANAFSHEH MOSHIREE THOMAS | M.D. | 1205833365 |
| KATHLEEN ELIZABETH SHARP | MD | 1497748529 |
| DR. VAUGHN ANTHONY BROZEK JR. | FNP-C, DC | 1801889894 |
| ADILA NIGHAT SIDDIQI | D.O. | 1932180296 |
| JOSEPH LUKASKA | — | 1265416895 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.