Active NPIIndividual provider

Dr. Rajesh Butala, MD

Pathology, Anatomic Pathology & Clinical Pathology in Elmwood Park, New Jersey

NPI Number1619018512
Practice location
481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118
Fax
201-791-1941
Last updated
July 8, 2007

Rajesh Butala is a Pathology, Anatomic Pathology & Clinical Pathology based in Elmwood Park, NJ. Rajesh Butala practices in Elmwood Park, NJ and has the professional credentials of MD. The NPI Number for Rajesh Butala is 1619018512 and holds a License No. 25MA06169100 (NJ). The current practice location address for Rajesh Butala is 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 and can be reached out via phone at 201-791-2600 and via fax at 201-791-1941.

Provider Profile Details

NPI Number
1619018512
Provider Name
Rajesh Butala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118
Phone Number
201-791-2600
Fax Number
201-791-1941
Sole Proprietor
No
Provider Enumeration Date
February 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 Edward H Ross Dr
Elmwood Park, NJ 07407-3118
Zip
07407-3118
Phone Number
201-791-2600
Fax Number
201-791-1941
Elmwood Park, NJ 07407Get directions →

Provider Business Mailing Address Details

Address
54 Lyle Pl
Edison, NJ 08820-4433
City
Edison
State
NJ
Zip
08820-4433

License Information

License Number
25MA06169100
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Rajesh Butala, MD?

The NPI number of Dr. Rajesh Butala, MD is 1619018512. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Rajesh Butala, MD?

Dr. Rajesh Butala, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA06169100.

Where does Dr. Rajesh Butala, MD practice?

The practice location is 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118. The office can be reached at 201-791-2600 (phone) or 201-791-1941 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619018512 directly on the NPPES registry website.

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