Provider Demographics
NPI:1497942890
Name:LENAWEE ADULT & PEDIATRIC MEDICINE
Entity Type:Organization
Organization Name:LENAWEE ADULT & PEDIATRIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-265-6433
Mailing Address - Street 1:4539 N ADRIAN HWY
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-9003
Mailing Address - Country:US
Mailing Address - Phone:517-265-6433
Mailing Address - Fax:517-215-7799
Practice Address - Street 1:4539 N ADRIAN HWY
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-9003
Practice Address - Country:US
Practice Address - Phone:517-265-6433
Practice Address - Fax:517-215-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066756207R00000X, 208000000X, 208000000X
MI5601004613363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4623294Medicaid
MI1104610512OtherBCBS
MI0N91810Medicare PIN