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General NPI Number Information
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NPI Number | 1649344722
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Entity Type | Organization
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Legal Business Name | V. NICHOLAS BATRA M.D. INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 15051 HESPERIAN BLVD SUITE A
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3536
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Country | US
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Telephone | 510-276-1212
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Fax | 510-276-1313
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Provider Business Mailing Address
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Address Line | 15051 HESPERIAN BLVD SUITE A
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3536
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Country | US
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Telephone | 510-276-1212
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Fax | 510-276-1313
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Authorized Official
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Title or Position | OWNER
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Name | VINEET NICHOLAS BATRA
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Credential | M.D.
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Telephone | 510-276-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A62852
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License Number State | CA
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