Healthcare Provider Details

I. General information

NPI: 1497942890
Provider Name (Legal Business Name): LENAWEE ADULT & PEDIATRIC MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N ADRIAN HWY
ADRIAN MI
49221-9003
US

IV. Provider business mailing address

4539 N ADRIAN HWY
ADRIAN MI
49221-9003
US

V. Phone/Fax

Practice location:
  • Phone: 517-265-6433
  • Fax: 517-215-7799
Mailing address:
  • Phone: 517-265-6433
  • Fax: 517-215-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301066756
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301066756
License Number StateMI

VIII. Authorized Official

Name: DR. NARINDER K BATRA
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 517-265-6433