Individual
DR. LITA R BUDIAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ELIZABETH PL STE D, DAYTON, OH 45408-1445
(937) 222-2233
(937) 222-9665
Mailing address
1 ELIZABETH PL STE D, DAYTON, OH 45408-1445
(937) 222-2233
(937) 222-9665
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35048302
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35048302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213070
ANTHEM
OH
01
—
050082013
RAILROAD MEDICARE
OH
05
—
0505402
—
OH
01
—
BU0850756
MEDICARE PTAN
OH
Enumeration date
08/22/2006
Last updated
05/06/2013
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