MEDICARE: DR. RONALD SEAN BATIN M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	G77080	CA
2	207RP1001X	Pulmonary Disease Physician	G77080	CA

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	:	1114920733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD SEAN BATIN M.D.

Provider Business Mailing Address
First Line	:	232 HOSPITAL DR STE A
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482-4562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 HOSPITAL DR STE A
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482
Country	:	US
Telephone Number	:	707-467-3189
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/06/2019

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