Provider Demographics
NPI:1265498802
Name:BATTISTE, ALDO ANTHONY JR (MD)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:ANTHONY
Last Name:BATTISTE
Suffix:JR
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 1:11229 GREENBRIAR CHASE ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-3218
Mailing Address - Country:US
Mailing Address - Phone:405-691-5587
Mailing Address - Fax:405-631-9315
Practice Address - Street 1:11229 GREENBRIAR CHASE ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-3218
Practice Address - Country:US
Practice Address - Phone:405-691-5587
Practice Address - Fax:405-631-9315
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK163102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100203690CMedicaid
E99537Medicare UPIN
OK100203690CMedicaid