Provider Demographics
NPI:1790739159
Name:BATUGAL, OSCAR AQUINO (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:AQUINO
Last Name:BATUGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:400 SHADOW LN
Practice Address - Street 2:STE 207
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4363
Practice Address - Country:US
Practice Address - Phone:702-382-7760
Practice Address - Fax:702-382-7871
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8269207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV8269OtherSTATE LICENSE
NVP00915892OtherRAILROAD MEDICARE
NV1790739159Medicaid
NVEP580X (CQ328B)Medicare PIN
NVEP580Y (CQ328A)Medicare PIN