Healthcare Provider Details

I. General information

NPI: 1497173207
Provider Name (Legal Business Name): SINDHURA THATIPELLI BATCHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 STOCKTON BLVD STE 367
SACRAMENTO CA
95817-2208
US

IV. Provider business mailing address

2516 STOCKTON BLVD STE 367
SACRAMENTO CA
95817-2208
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3720
  • Fax: 916-734-4098
Mailing address:
  • Phone: 916-734-3720
  • Fax: 916-734-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberA149222
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: