Provider Demographics
NPI:1639751480
Name:BATTANI, PATRICK ROBERT (MPH)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:ROBERT
Last Name:BATTANI
Suffix:
Gender:M
Credentials:MPH
Other - Prefix:
Other - First Name:PATRICIO
Other - Middle Name:ROBERT
Other - Last Name:BATTANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPH
Mailing Address - Street 1:1481 S KING ST STE 422
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2600
Mailing Address - Country:US
Mailing Address - Phone:808-381-8569
Mailing Address - Fax:
Practice Address - Street 1:1481 S KING ST STE 422
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2600
Practice Address - Country:US
Practice Address - Phone:808-381-8569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIEL46174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIEL46OtherSTATE OF HAWAII