Budiamal, Lita R
Budiamal, Lita R is an individual health care provider with primary practice located at 1 Elizabeth Pl Ste D , Dayton OH 45408-1445. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Budiamal, Lita R can be contacted via phone (937) 222-2233.Contact Information
Primary practice address
1 Elizabeth Pl Ste D
Dayton OH 45408-1445
Phone: (937) 222-2233
Fax: (937) 222-9665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35048302 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35048302 | Ohio |
Profile Details
| NPI number | 1962518019 |
|---|---|
| LBN Legal business name | Budiamal, Lita R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | May 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962518019 | NPPES |
| Ohio | Other | BU0850756 | MEDICARE PTAN |
| Ohio | Other | 050082013 | MEDICARE PTAN |
| Ohio | MEDICAID | 0505402 | MEDICARE PTAN |
| Ohio | Other | 000000213070 | MEDICARE PTAN |
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