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General NPI Number Information
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NPI Number | 1952342891
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Entity Type | Individual
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Provider Name | RENU S BATRA M.D
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 3650 S EASTERN AVE # 230
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City | LAS VEGAS
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State | NV
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Zip | 89109-3379
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Country | US
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Telephone | 702-732-0173
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Fax | 702-732-8397
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Provider Business Mailing Address
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Address Line | 4240 E QUAIL AVE
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City | LAS VEGAS
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State | NV
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Zip | 89120-2326
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Country | US
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Telephone | 702-433-7448
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Fax | 702-732-8397
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 4946
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License Number State | NV
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