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General NPI Number Information
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NPI Number | 1407176845
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Entity Type | Organization
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Legal Business Name | GOPAL K BATRA M.D INC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 912 TEAKWOOD RD
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City | LOS ANGELES
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State | CA
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Zip | 90049-1332
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Country | US
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Telephone | 310-786-7100
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Fax | 310-472-4459
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Provider Business Mailing Address
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Address Line | 912 TEAKWOOD RD
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City | LOS ANGELES
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State | CA
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Zip | 90049-1332
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Country | US
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Telephone | 310-786-7100
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Fax | 310-472-4459
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GOPAL KRISHAN BATRA
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Credential | M.D
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Telephone | 310-786-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A29739
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License Number State | CA
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