Provider Demographics
NPI:1609805761
Name:BATRA, MANBIR S (MD)
Entity Type:Individual
Prefix:DR
First Name:MANBIR
Middle Name:S
Last Name:BATRA
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 1:1100 9TH AVE
Mailing Address - Street 2:MS M4-PA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-583-6025
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-223-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016330207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAUS0861401OtherAETNA/USHC SPECIALIST
WA8270001Medicaid
WAMD330WAOtherALASKA MEDICAID
WA804251500OtherIDAHO MEDICAID
WA0039515OtherLABOR & INDUSTRY
WAB168OtherBLUE SHIELD
WA1609805761OtherMONTANA DSHS
50031559OtherRAILROAD MEDICARE
WA8270001Medicaid
WAB168OtherBLUE SHIELD