IndividualActive
Anish Butala, MD
NPI 1619366499 · Therapeutic Radiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1619366499
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT210439 (PA)
Practice location
3400 Civic Center Boulevard
Trc-2 West
Philadelphia, PA 19104
Phone: (267) 438-7203
Mailing address
3400 Civic Center Boulevard
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2015-01-15
- Last updated
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.