Butala, Mitul
Butala, Mitul is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Butala, Mitul can be contacted via phone (703) 391-3600.Contact Information
Primary practice address
3600 Joseph Siewick Dr
Fairfax VA 22033-1709
Phone: (703) 391-3600
Fax: (703) 391-3414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD452723 | Pennsylvania |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101272781 | Virginia |
Profile Details
NPI number | 1881986164 |
---|---|
LBN Legal business name | Butala, Mitul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2011 |
Last updated | Aug 19th, 2021 - about 4 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.
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