Provider Demographics
NPI:1932378361
Name:ALDO A BATTISTE MD PLLC
Entity Type:Organization
Organization Name:ALDO A BATTISTE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:BATTISTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:405-691-5587
Mailing Address - Street 1:11229 GREENBRIAR CHASE ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-3218
Mailing Address - Country:US
Mailing Address - Phone:405-691-5587
Mailing Address - Fax:
Practice Address - Street 1:11229 GREENBRIAR CHASE ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-3218
Practice Address - Country:US
Practice Address - Phone:405-691-5587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK163102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty