Individual
DR. ANJALI BUTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 WALNUT AVE STE D, TUSTIN, CA 92780-7028
(714) 646-6444
Mailing address
50 HOSPITAL DR, TYLERTOWN, MS 39667-2067
(601) 876-5161
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
238124
NY
207N00000X
Dermatology Physician
25MA08016900
NJ
207N00000X
Dermatology Physician
A100583
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A100583
CA
207ND0900X
Dermatopathology Physician
A100583
CA
207NP0225X
Pediatric Dermatology Physician
A100583
CA
207NS0135X
Procedural Dermatology Physician
A100583
CA
Other
Enumeration date
01/21/2007
Last updated
12/12/2018
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