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Individual

NEIL P BUTANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2620 WALNUT AVE STE D, TUSTIN, CA 92780-7028
(714) 888-5766
Mailing address
50 HOSPITAL DR, TYLERTOWN, MS 39667-2067
(213) 842-6345

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A83585
CA
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
A83585
CA
2084N0400X
Neurology Physician
A83585
CA
2084N0600X
Clinical Neurophysiology Physician
A83585
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A83585
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A83585
CA
208VP0000X
Pain Medicine Physician
A83585
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A83585
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1453315
LA
05
193065301
TX
Enumeration date
03/23/2007
Last updated
12/12/2018
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