Provider Demographics
NPI:1508845330
Name:BATIHK, HANNAH S (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:S
Last Name:BATIHK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:S
Other - Last Name:BATIHK-BOULOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7274 NW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4619
Mailing Address - Country:US
Mailing Address - Phone:954-724-6225
Mailing Address - Fax:
Practice Address - Street 1:1613 HARRISON PKWY
Practice Address - Street 2:#200
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2853
Practice Address - Country:US
Practice Address - Phone:954-838-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60229207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14266OtherBC/BS
FL14266YMedicare ID - Type Unspecified
FL14266UMedicare ID - Type Unspecified
F08391Medicare UPIN