MEDICARE: DIPESH BATRA MD

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	208000000X	Pediatrics Physician	ME86843	FL
2	208000000X	Pediatrics Physician	N3487	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245225002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIPESH BATRA MD

Provider Business Mailing Address
First Line	:	5800 BELLAIRE BLVD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77081-5537
Country	:	US
Telephone Number	:	713-668-8900
Fax Number	:	713-668-8903

Provider Business Practice Location Address
First Line	:	5800 BELLAIRE BLVD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77081-5537
Country	:	US
Telephone Number	:	713-668-8900
Fax Number	:	713-668-8903

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

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	11/09/2015

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Directions to “ DIPESH BATRA MD” Practice Location

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