ANISH ATUL BUTALA MD NPI 1619366499

NPI Information

NPI: 1619366499
Provider Name: ANISH ATUL BUTALA, MD
Classification: Radiology - 2085R0203X
Entity Type: Individual

Specialization: Therapeutic Radiology

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
3400 CIVIC CENTER BOULEVARD
TRC-2 WEST
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 438-7203
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Anish Atul Butala, MD is a therapeutic radiology radiology in Philadelphia, PA with 8 years of experience. Anish Atul Butala, MD NPI is 1619366499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

3400 CIVIC CENTER BOULEVARD
TRC-2 WEST
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 438-7203

The NPI 1619366499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 8/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	207R00000X	Internal Medicine		MT210439	PENNSYLVANIA	No
3	2085R0203X	Radiology	Therapeutic Radiology	MD472450	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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