Healthcare Provider Details

I. General information

NPI: 1649556291
Provider Name (Legal Business Name): SUMEET BATRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 STOCKTON BLVD STE A
SACRAMENTO CA
95817-1418
US

IV. Provider business mailing address

2221 STOCKTON BLVD STE A
SACRAMENTO CA
95817-1418
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-8199
  • Fax: 916-734-7510
Mailing address:
  • Phone: 916-734-8199
  • Fax: 916-734-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberA149281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: