Provider Demographics
NPI:1548225048
Name:BUTLER, THOMAS P (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:STE 170
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3633
Mailing Address - Country:US
Mailing Address - Phone:703-894-3800
Mailing Address - Fax:703-528-0338
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:STE 170
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3633
Practice Address - Country:US
Practice Address - Phone:703-894-3800
Practice Address - Fax:703-528-0338
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2023-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101029485174400000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1548225048Medicaid
C88089Medicare UPIN
VA018521F90Medicare PIN
VAP00289498Medicare PIN