Provider Demographics
NPI:1497847875
Name:BATRA, MUNISH K (MD)
Entity Type:Individual
Prefix:
First Name:MUNISH
Middle Name:K
Last Name:BATRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12264 EL CAMINO REAL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3060
Mailing Address - Country:US
Mailing Address - Phone:858-847-0800
Mailing Address - Fax:858-356-0550
Practice Address - Street 1:12264 EL CAMINO REAL
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3060
Practice Address - Country:US
Practice Address - Phone:858-847-0800
Practice Address - Fax:858-356-0550
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG83246208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG83246BMedicare ID - Type Unspecified
CAF74087Medicare UPIN