Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANISH ATUL BUTALA, MD
ActiveANISH ATUL BUTALA, MD is a 2085R0203X healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1619366499 is currently active in the NPPES registry. Verify at CMS.
2085R0203X · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1619366499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2015 (11.596229610609 yrs)
- Last Updated
- Aug 27, 2021
- Licenses
-
MT210439 (PA)MD472450 (PA)
Practice Information
- Address
-
3400 CIVIC CENTER BOULEVARDTRC-2 WESTPHILADELPHIA, PA, 19104Browse PA providers · Browse ZIP 19104
- Phone
- 2674387203
- Primary Specialty
-
2085R0203X
2085R0203X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 2085R0203X
Other 2085R0203X Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT L GOODMAN | MD | 1649217779 |
| ROBERT ALLEN LUSTIG | MD | 1275569964 |
| DR. NITIN OHRI | M.D. | 1346499431 |
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.