Provider Demographics
NPI:1871643213
Name:BATRA, NARENDRA K (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:K
Last Name:BATRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-2421
Mailing Address - Country:US
Mailing Address - Phone:641-856-8100
Mailing Address - Fax:641-437-1506
Practice Address - Street 1:707 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-2421
Practice Address - Country:US
Practice Address - Phone:641-856-8100
Practice Address - Fax:641-437-1506
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA29655208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA33640OtherBLUE CROSS BLUE SHIELD
IA6139519Medicaid
IA33640OtherBLUE CROSS BLUE SHIELD
IA6139519Medicaid