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NPI Code Detail

MEDICARE: DR. PADMAJA P BATTULA MD

MEDICARE:  DR. PADMAJA P BATTULA  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
1207Q00000XFamily Medicine PhysicianL6779TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972645406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PADMAJA P BATTULA MD
Provider Business Mailing Address
First Line : 8511 EASTON LN
Second Line : APT 211
City : FORT WORTH
State : TX
Zip : 76120-2744
Country : US
Telephone Number : 817-460-3471
Fax Number :
Provider Business Practice Location Address
First Line : 8511 EASTON LN
Second Line : APT 211
City : FORT WORTH
State : TX
Zip : 76120-2744
Country : US
Telephone Number : 817-460-3471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 09/24/2015

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Directions to “ DR. PADMAJA P BATTULA MD” Practice Location

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