Provider Demographics
NPI:1366825408
Name:BATTULA, NARENDRA (FRCS)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:
Last Name:BATTULA
Suffix:
Gender:M
Credentials:FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SW ARCHER RD # 100118
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0118
Mailing Address - Country:US
Mailing Address - Phone:352-265-0606
Mailing Address - Fax:
Practice Address - Street 1:800 STANTON L YOUNG BLVD # 8326
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5018
Practice Address - Country:US
Practice Address - Phone:405-271-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.201473204F00000X
FLMFC1786208600000X
OK37083204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
JA574ZOtherMEDICARE
FL021424400Medicaid