Provider Demographics
NPI:1730291998
Name:VIJAY K BATTU MD PC
Entity Type:Organization
Organization Name:VIJAY K BATTU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BATTU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-755-8808
Mailing Address - Street 1:340 EAST 49TH STREET GROUND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-755-8808
Mailing Address - Fax:212-755-1789
Practice Address - Street 1:340 EAST 49TH STREET GROUND FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-755-8808
Practice Address - Fax:212-755-1789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188012207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWET682Medicare PIN
WET681Medicare ID - Type Unspecified
NYWET681Medicare PIN
G04372Medicare UPIN