Healthcare Provider Details

I. General information

NPI: 1457600405
Provider Name (Legal Business Name): VERA BATCHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4839 WHITE PINE DR
FOLSOM CA
95630-6022
US

IV. Provider business mailing address

8518 GATE HOUSE WAY
FORT SMITH AR
72916
US

V. Phone/Fax

Practice location:
  • Phone: 916-382-8500
  • Fax: 916-221-9882
Mailing address:
  • Phone: 479-441-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE9880
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: