Provider Demographics
NPI:1073784724
Name:BATRES, YASIR AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:YASIR
Middle Name:AHMED
Last Name:BATRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32275
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275-2275
Mailing Address - Country:US
Mailing Address - Phone:480-300-4646
Mailing Address - Fax:480-300-4646
Practice Address - Street 1:2045 S VINEYARD STE 119
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6889
Practice Address - Country:US
Practice Address - Phone:480-300-4646
Practice Address - Fax:480-300-4647
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44447207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ609549Medicaid
AZ44447OtherAZ MEDICAL LICENSE
AZ609549Medicaid