Provider Demographics
NPI:1477786754
Name:BATCHU, VISHALAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:VISHALAKSHMI
Middle Name:
Last Name:BATCHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10970 SHADOW CREEK PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0100
Mailing Address - Country:US
Mailing Address - Phone:713-436-4566
Mailing Address - Fax:713-436-4866
Practice Address - Street 1:10970 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-0100
Practice Address - Country:US
Practice Address - Phone:713-436-4566
Practice Address - Fax:713-436-4866
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3486207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477786754OtherBCBS TX
TX207084901Medicaid
TX8CD246OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX1477786754OtherTRICARE
TXP00800046Medicare PIN
TX1477786754OtherTRICARE
TX207084901Medicaid