Provider Demographics
NPI:1093064180
Name:ROBERT BATEYKO, MD CHARTERED
Entity Type:Organization
Organization Name:ROBERT BATEYKO, MD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATEYKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-377-4555
Mailing Address - Street 1:5664 BEE RIDGE ROAD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233
Mailing Address - Country:US
Mailing Address - Phone:941-377-4555
Mailing Address - Fax:941-378-3524
Practice Address - Street 1:5664 BEE RIDGE ROAD
Practice Address - Street 2:SUITE #101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233
Practice Address - Country:US
Practice Address - Phone:941-377-4555
Practice Address - Fax:941-378-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23601AMedicare PIN
FLE84047Medicare UPIN