MEDICARE: DR. ANIL K 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	207RP1001X	Pulmonary Disease Physician	4769	NV

General Provider Information

NPI Number	:	1538108154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIL K BATRA M.D

Provider Business Mailing Address
First Line	:	4240 E QUAIL AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2326
Country	:	US
Telephone Number	:	702-433-7448
Fax Number	:	702-732-8397

Provider Business Practice Location Address
First Line	:	3650 S EASTERN AVE
Second Line	:	# 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-3379
Country	:	US
Telephone Number	:	702-732-7560
Fax Number	:	702-732-8397

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/08/2007

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