Provider Demographics
NPI:1174673487
Name:BUTLER HEALTH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BUTLER HEALTH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:MAMTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-671-5858
Mailing Address - Street 1:436 RAY NORRISH DRIVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:541-367-1585
Mailing Address - Fax:513-346-7456
Practice Address - Street 1:436 RAY NORRISH DRIVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246
Practice Address - Country:US
Practice Address - Phone:541-367-1585
Practice Address - Fax:513-346-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0881621Medicaid
OH9249861Medicare PIN