Mitul Butala, MD | |
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | |
(703) 391-3600 | |
(703) 391-3414 |
Full Name | Mitul Butala |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 15 Years |
Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881986164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD452723 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 0101272781 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fair Oaks Hospitalist Physicians, Pllc | 1052419868 | 34 |
Inova Health Care Services | 2466351093 | 1778 |
Inova Health Care Services | 2466351093 | 1778 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Fair Oaks Hospitalist Physicians, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275601205 PECOS PAC ID: 1052419868 Enrollment ID: O20070601000279 |
Mailing Address | Practice Location Address |
---|---|
Mitul Butala, MD Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699 | Mitul Butala, MD 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3600 |
Thuy Phuong Thi Vo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033 Phone: 703-391-2020 | |
Dr. David Drake Leonard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3911 Blenheim Blvd Ste 41c, Fairfax, VA 22030 Phone: 703-352-7100 Fax: 703-539-8579 | |
Andaleeb Rahman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Fairfax, VA 22033 Phone: 703-359-7878 | |
Christine Marie Longo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2987 District Ave Ste 120, Fairfax, VA 22031 Phone: 888-663-6331 | |
Dr. Sally May Abilmona, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033 Phone: 703-391-2020 | |
Hannah Byrd Depoy, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-2020 | |
Dr. Heon Soo Yi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033 Phone: 703-391-2020 |