Provider Demographics
NPI:1568521706
Name:BATIPPS, GERALD PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:PATRICK
Last Name:BATIPPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6495 NEW HAMPSHIRE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3286
Mailing Address - Country:US
Mailing Address - Phone:202-636-3920
Mailing Address - Fax:202-832-3268
Practice Address - Street 1:6495 NEW HAMPSHIRE AVE STE 203
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3286
Practice Address - Country:US
Practice Address - Phone:202-636-3920
Practice Address - Fax:202-832-3268
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018842208800000X
VA0101034294208800000X
DCMD10220208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD102220OtherDC STATE LIC
D0018842OtherMD STATE LIC
DC010783800Medicaid
DC010783800Medicaid
DC010783800Medicaid