Provider Demographics
NPI:1841653540
Name:BATTA, NEIL RAJ (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:RAJ
Last Name:BATTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4700 POINT FOSDICK DR STE 205
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1706
Mailing Address - Country:US
Mailing Address - Phone:253-841-0842
Mailing Address - Fax:253-445-0756
Practice Address - Street 1:1519 3RD ST SE STE 101
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3742
Practice Address - Country:US
Practice Address - Phone:253-841-0705
Practice Address - Fax:253-841-4527
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2022-01-05
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Provider Licenses
StateLicense IDTaxonomies
WAMD611595822081P2900X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty