Provider Demographics
NPI:1386633204
Name:BATAY-CSORBA, THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:BATAY-CSORBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5408
Mailing Address - Country:US
Mailing Address - Phone:561-844-4400
Mailing Address - Fax:561-844-7444
Practice Address - Street 1:517 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5408
Practice Address - Country:US
Practice Address - Phone:561-844-4400
Practice Address - Fax:561-844-7444
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40260208600000X
KY40777208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100026350Medicaid
KY0965204Medicare PIN
KY7100026350Medicaid
TN00299001Medicare PIN