Butala, Amita Atul
Butala, Amita Atul is an individual health care provider with primary practice located at 1617 N James St Ste 900 , Rome NY 13440-2846. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Butala, Amita Atul can be contacted via phone (315) 336-8260.Contact Information
Primary practice address
1617 N James St Ste 900
Rome NY 13440-2846
Phone: (315) 336-8260
Fax: (315) 314-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 187464 | New York |
Profile Details
| NPI number | 1720184948 |
|---|---|
| LBN Legal business name | Butala, Amita Atul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 20th, 2022 - about 2 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 | 1720184948 | NPPES |
| New York | MEDICAID | 01382732 |
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