Provider Demographics
NPI:1245979194
Name:BATTH, SIMRAT KAUR (MD)
Entity type:Individual
Prefix:
First Name:SIMRAT
Middle Name:KAUR
Last Name:BATTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87-08 JUSTICE AVENUE, ELMHURST
Mailing Address - Street 2:10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:916-909-9062
Mailing Address - Fax:718-334-4904
Practice Address - Street 1:79-01 BROADWAY, D6-04, ELMHURST HOSPITAL CENTER, DEPT O
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-4000
Practice Address - Fax:718-334-4904
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2023-09-21
Deactivation Date:2023-02-27
Deactivation Code:
Reactivation Date:2023-09-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program