Provider Demographics
NPI:1720293087
Name:BATRA, RAJNI
Entity Type:Individual
Prefix:DR
First Name:RAJNI
Middle Name:
Last Name:BATRA
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:RAJNI
Other - Middle Name:
Other - Last Name:BATRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1306 E GRANT ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-1151
Mailing Address - Country:US
Mailing Address - Phone:641-856-6828
Mailing Address - Fax:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045113208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics