Individual
ANKUR BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, MEYER 6-181, BALTIMORE, MD 21287-0005
(410) 502-0133
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
274204
NY
2084N0400X
Neurology Physician
Primary
D79589
MD
2084P0800X
Psychiatry Physician
274204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03983979
—
NY
Enumeration date
06/11/2008
Last updated
02/12/2024
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