Provider Demographics
NPI:1013130343
Name:BATCH, DEIRDRE VANCE (MD MPH)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:VANCE
Last Name:BATCH
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 WIND CHIME CT
Mailing Address - Street 2:STE 202
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6477
Mailing Address - Country:US
Mailing Address - Phone:919-518-0899
Mailing Address - Fax:919-518-0898
Practice Address - Street 1:187 WIND CHIME CT
Practice Address - Street 2:STE 202
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6477
Practice Address - Country:US
Practice Address - Phone:919-518-0899
Practice Address - Fax:919-518-0898
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26426174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C86633Medicare UPIN
NC203133Medicare ID - Type Unspecified