MEDICARE: DR. PRIYA BATRA 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	207V00000X	Obstetrics & Gynecology Physician	A120311	CA

General Provider Information

NPI Number	:	1225355357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYA BATRA M.D.

Provider Business Mailing Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 710
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	310-794-2268
Fax Number	:

Provider Business Practice Location Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 710
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	310-794-2268
Fax Number	:

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

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	04/01/2015

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