Provider Demographics
NPI:1356441869
Name:BATRA, RITU SONIA (MD MPH)
Entity Type:Individual
Prefix:
First Name:RITU
Middle Name:SONIA
Last Name:BATRA
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 SANTA MONICA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2316
Mailing Address - Country:US
Mailing Address - Phone:310-829-9099
Mailing Address - Fax:310-829-9199
Practice Address - Street 1:2216 SANTA MONICA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2316
Practice Address - Country:US
Practice Address - Phone:310-829-9099
Practice Address - Fax:310-829-9199
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75794207ND0900X, 207ND0101X, 207NP0225X, 207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000A75794Medicaid
CA000A75794Medicaid
CAA75794Medicare PIN