Provider Demographics
NPI:1891949467
Name:R.A. BATTIE M.D. INC
Entity Type:Organization
Organization Name:R.A. BATTIE M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-568-1000
Mailing Address - Street 1:73730 HIGHWAY 111
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4018
Mailing Address - Country:US
Mailing Address - Phone:760-568-1000
Mailing Address - Fax:760-568-6889
Practice Address - Street 1:73730 HIGHWAY 111
Practice Address - Street 2:SUITE 1
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4018
Practice Address - Country:US
Practice Address - Phone:760-568-1000
Practice Address - Fax:760-568-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23910207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty