MEDICARE: DANIEL E BATLAN MD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	NV9300	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114084464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL E BATLAN MD, MBA

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR
Second Line	:	#3-710
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6299
Country	:	US
Telephone Number	:	702-838-8004
Fax Number	:	702-838-5085

Provider Business Practice Location Address
First Line	:	1661 W HORIZON RIDGE PKWY
Second Line	:	SUITE #270
City	:	HENDERSON
State	:	NV
Zip	:	89012-3494
Country	:	US
Telephone Number	:	702-838-8004
Fax Number	:	702-838-5085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	08/19/2013

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