Provider Demographics
NPI:1720275951
Name:BATAC, MA CHARMAINE RAPADAS (MD)
Entity Type:Individual
Prefix:
First Name:MA CHARMAINE
Middle Name:RAPADAS
Last Name:BATAC
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 1:943 FOURTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6409
Mailing Address - Country:US
Mailing Address - Phone:724-335-3334
Mailing Address - Fax:724-335-2283
Practice Address - Street 1:943 FOURTH AVE
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6409
Practice Address - Country:US
Practice Address - Phone:724-335-3334
Practice Address - Fax:724-335-2283
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440474207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine