Provider Demographics
NPI:1477607562
Name:BATTAGLIA, CHRISTOPHER PAUL
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:BATTAGLIA
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:PO BOX 74152
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70033-4152
Mailing Address - Country:US
Mailing Address - Phone:504-888-8748
Mailing Address - Fax:504-888-6474
Practice Address - Street 1:2708 ATHANIA PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5904
Practice Address - Country:US
Practice Address - Phone:504-888-8748
Practice Address - Fax:504-888-6474
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1985171Medicaid