Healthcare Provider Details

I. General information

NPI: 1710974928
Provider Name (Legal Business Name): TANIS MINETTE BATSEL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BUREAU OF MEDICINE & SURGERY (M3C1) 2300 E ST. NW
WASHINGTON DC
20372-5300
US

IV. Provider business mailing address

1021 N GARFIELD ST APT 210
ARLINGTON VA
22201-2555
US

V. Phone/Fax

Practice location:
  • Phone: 202-762-3500
  • Fax: 202-762-3490
Mailing address:
  • Phone: 202-762-3500
  • Fax: 202-762-3490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0101051203
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: