Provider Demographics
NPI:1285016444
Name:KIRANDEEP K BATTH M.D. INC
Entity Type:Organization
Organization Name:KIRANDEEP K BATTH M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRANDEEP
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:BATTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-431-8081
Mailing Address - Street 1:1313 E HERNDON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3306
Mailing Address - Country:US
Mailing Address - Phone:559-431-8081
Mailing Address - Fax:
Practice Address - Street 1:1313 E HERNDON AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3306
Practice Address - Country:US
Practice Address - Phone:559-431-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97323261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACD261AOtherPTAN