Provider Demographics
NPI:1659474708
Name:BATRA, MIRABAI K (MD)
Entity Type:Individual
Prefix:MS
First Name:MIRABAI
Middle Name:K
Last Name:BATRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:127 W 43RD ST # 1019NO
Mailing Address - Street 2:LUTHERAN FAMILY HEALTH CENTERS - COMMUNITY MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6565
Mailing Address - Country:US
Mailing Address - Phone:917-953-3100
Mailing Address - Fax:
Practice Address - Street 1:127 W 43RD ST # 1019
Practice Address - Street 2:NYU LUTHERAN FHC NO MAILING LISTS OF ANY KIND
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6565
Practice Address - Country:US
Practice Address - Phone:917-953-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2247331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1571G1Medicare ID - Type Unspecified
NYI50113Medicare UPIN