MEDICARE: KAMAL BATCHA 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	D18267	MD
2	207RP1001X	Pulmonary Disease Physician	D18267	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CE8614 290000579	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3340 0001	OTHER	DC	CAREFRIST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	KA95MA 30252001	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1528049152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMAL BATCHA M.D.

Provider Business Mailing Address
First Line	:	10845 PHILADELPHIA RD
Second Line	:
City	:	WHITE MARSH
State	:	MD
Zip	:	21162-1717
Country	:	US
Telephone Number	:	410-335-0008
Fax Number	:	410-335-1133

Provider Business Practice Location Address
First Line	:	1600 CRAIN HWY S
Second Line	:	SUITE 308
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5577
Country	:	US
Telephone Number	:	410-760-5510
Fax Number	:	410-760-5925

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	06/02/2008

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Directions to “ KAMAL BATCHA M.D.” Practice Location

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