Provider Demographics
NPI:1407928096
Name:BATRA, DEVENDER KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:DEVENDER
Middle Name:KUMAR
Last Name:BATRA
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 1:157 EAST LAWN AVENUE
Mailing Address - Street 2:
Mailing Address - City:STCLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950
Mailing Address - Country:US
Mailing Address - Phone:740-526-0100
Mailing Address - Fax:740-526-0400
Practice Address - Street 1:157 EAST LAWN AVENUE
Practice Address - Street 2:
Practice Address - City:STCLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950
Practice Address - Country:US
Practice Address - Phone:740-526-0100
Practice Address - Fax:740-526-0400
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067462207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0990665Medicaid
OH4120524Medicare PIN
OH4120526Medicare PIN
OH0990665Medicaid
OH4120521Medicare PIN
OH4120522Medicare PIN