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Contact Information

ANISH A BUTALA, MD
3400 CIVIC CENTER BOULEVARD
TRC-2 WEST
PHILADELPHIA, PA19104
 Phone: 267-438-7203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0203X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANISH A BUTALA · (Male)

NPI # 1619366499
Status Active
Credentials MD
Entity Individual
Enumeration date 01/15/2015
Last updated 08/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD472450
  • PA License # MT210439
Hospital affiliation(s)
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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