MEDICARE: OSCAR A BATUGAL A PROFESSIONAL CORPORATION

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	207R00000X	Internal Medicine Physician	8763	NV
2	207R00000X	Internal Medicine Physician	9921	NV
3	207R00000X	Internal Medicine Physician	10170	NV
4	2084N0400X	Neurology Physician	11106	NV
5	207R00000X	Internal Medicine Physician	8269	NV

General Provider Information

NPI Number	:	1346340429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSCAR A BATUGAL A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2501 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2127
Country	:	US
Telephone Number	:	702-382-7760
Fax Number	:	702-382-7871

Provider Business Practice Location Address
First Line	:	2501 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2127
Country	:	US
Telephone Number	:	702-382-7760
Fax Number	:	702-382-7871

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. OSCAR AQUINO BATUGAL
Credential	:	M.D.
Telephone Number	:	702-382-7760

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	12/29/2009

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