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NPI Code Detail

MEDICARE: MUNISH K. BATRA, M.D., P.C.

MEDICARE: MUNISH K. BATRA, M.D., P.C.
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
12086S0122XPlastic and Reconstructive Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A71492OTHERCADR. CAMBEROS STATE LICENS
21497847875OTHERCADR. BATRA NPI
31942225388OTHERCADR. CAMBEROS NPI
41629165428OTHERCADR. GUPTA NPI
5A88550OTHERCADR. GUPTA STATE LICENSE
6G83246OTHERCADR. BATRA STATE LICENSE

General Provider Information

NPI Number : 1588780332
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNISH K. BATRA, M.D., P.C.
Provider Business Mailing Address
First Line : 12264 EL CAMINO REAL
Second Line : SUITE 101
City : SAN DIEGO
State : CA
Zip : 92130-3060
Country : US
Telephone Number : 858-847-0800
Fax Number : 858-724-0450
Provider Business Practice Location Address
First Line : 12264 EL CAMINO REAL
Second Line : SUITE 101
City : SAN DIEGO
State : CA
Zip : 92130-3060
Country : US
Telephone Number : 858-847-0800
Fax Number : 858-724-0450
Authorized Official
Title or Position : PRESIDENT
Name : MUNISH K. BATRA
Credential : M.D.
Telephone Number : 858-847-0800
Provider Enumeration Date : 03/22/2007
Last Update Date : 12/04/2012

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1497847875 — MUNISH K. BATRA M.D.
Practice Location Address:
12264 EL CAMINO REAL , SUITE 101
SAN DIEGO, CA
92130-3060
Practice Phone: 858-847-0800
Practice Fax: 858-356-0550
1992989131 — MR. JORGE RODRIGUEZ O.T.C./C.S.T.
Practice Location Address:
12264 EL CAMINO REAL , SUITE 101
SAN DIEGO, CA
92130-3060
Practice Phone: 858-847-0800
Practice Fax: 858-724-0450

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