Provider Demographics
NPI:1376037580
Name:BATWA, ABDULRAHMAN NOOR A
Entity Type:Individual
Prefix:
First Name:ABDULRAHMAN
Middle Name:NOOR A
Last Name:BATWA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W 16TH ST STE 4100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2394
Mailing Address - Country:US
Mailing Address - Phone:317-963-7171
Mailing Address - Fax:317-963-7547
Practice Address - Street 1:355 W 16TH ST STE 4100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2394
Practice Address - Country:US
Practice Address - Phone:317-963-7171
Practice Address - Fax:317-963-7547
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program