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General NPI Number Information
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NPI Number | 1750525838
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN BATALO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 14051 ST FRANCIS BLVD STE 2210
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3203
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Country | US
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Telephone | 804-893-8717
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Fax | 804-594-3131
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Provider Business Mailing Address
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Address Line | 205 PAGE RD
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City | PINEHURST
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State | NC
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Zip | 28374-8749
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Country | US
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Telephone | 910-295-5511
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101271387
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2015-00457
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License Number State | NC
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