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Organization

BUTANI DERMATOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANJALI BUTANI M.D. (PRESIDENT)
(213) 620-7600
Entity
Organization

Contact information

Practice address
170 S MAIN ST, SUITE 200, ORANGE, CA 92868-2801
(213) 620-7600
Mailing address
255 S GRAND AVE APT 2403, LOS ANGELES, CA 90012-3047
(213) 620-7600

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
207NP0225X
Pediatric Dermatology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
06/22/2009
Last updated
06/22/2009
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