Provider Demographics
NPI:1497218986
Name:BATRA, JASVEEN
Entity Type:Individual
Prefix:
First Name:JASVEEN
Middle Name:
Last Name:BATRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRIME HEALTHCARE
Mailing Address - Street 2:30 JORDAN LN
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1278
Mailing Address - Country:US
Mailing Address - Phone:860-263-0263
Mailing Address - Fax:860-263-0267
Practice Address - Street 1:PRIME HEALTHCARE
Practice Address - Street 2:30 JORDAN LN
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1278
Practice Address - Country:US
Practice Address - Phone:860-263-0263
Practice Address - Fax:860-263-0267
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT72077207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine