Provider Demographics
NPI:1831616028
Name:NILE ORTHOPEDIC AND REHABILITATION ASSOCIATION
Entity type:Organization
Organization Name:NILE ORTHOPEDIC AND REHABILITATION ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:BATA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-770-0945
Mailing Address - Street 1:1905 ORANGE AVE APT 1605
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4207
Mailing Address - Country:US
Mailing Address - Phone:585-770-0945
Mailing Address - Fax:
Practice Address - Street 1:25805 BARTON RD # A106
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3814
Practice Address - Country:US
Practice Address - Phone:585-770-0945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137199207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty