MEDICARE: SANJAY BATISH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	9800467	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700876901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJAY BATISH MD

Provider Business Mailing Address
First Line	:	PO BOX 837
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451-0837
Country	:	US
Telephone Number	:	910-383-1500
Fax Number	:	910-383-1504

Provider Business Practice Location Address
First Line	:	51 LEE DRIVE
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451
Country	:	US
Telephone Number	:	910-383-1500
Fax Number	:	910-383-1504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	12/04/2023

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Directions to “ SANJAY BATISH MD” Practice Location

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