Butala, Nitin Santosh

Butala, Nitin Santosh is an individual health care provider with primary practice located at 841 Prudential Dr Fl 10 , Jacksonville FL 32207-8329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Butala, Nitin Santosh can be contacted via phone (904) 394-5404.

Contact Information

Primary practice address
841 Prudential Dr Fl 10 Jacksonville FL 32207-8329
Phone: (904) 394-5404
Fax: (904) 391-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME108771 Florida

Profile Details

NPI number 1740483882
LBN Legal business name Butala, Nitin Santosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jun 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740483882 NPPES
Florida MEDICAID 0039592-00
Florida Other P01050785

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