Provider Demographics
NPI:1356657308
Name:BATAA, GERELMAA
Entity Type:Individual
Prefix:
First Name:GERELMAA
Middle Name:
Last Name:BATAA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELMA
Other - Middle Name:
Other - Last Name:BATAA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:255 INTERNATIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2235
Mailing Address - Country:US
Mailing Address - Phone:510-229-7377
Mailing Address - Fax:
Practice Address - Street 1:255 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-2235
Practice Address - Country:US
Practice Address - Phone:510-229-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker