Provider Demographics
NPI:1780648998
Name:BATRA, SUKHPREET SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUKHPREET
Middle Name:SINGH
Last Name:BATRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PETE
Other - Middle Name:SINGH
Other - Last Name:BATRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1611 W HARRISON ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4861
Mailing Address - Country:US
Mailing Address - Phone:312-942-6100
Mailing Address - Fax:312-942-6653
Practice Address - Street 1:1611 W HARRISON ST
Practice Address - Street 2:SUITE 550
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4861
Practice Address - Country:US
Practice Address - Phone:312-942-6100
Practice Address - Fax:312-942-6653
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081116B207Y00000X
TXN1997207Y00000X
IL036-103720207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2343977Medicaid
OH040017247OtherMEDICARE RAILROAD
OHH64087Medicare UPIN
OHBA7344901Medicare PIN