1730291998 NPI number — VIJAY K BATTU MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730291998 NPI number — VIJAY K BATTU MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIJAY K BATTU MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730291998
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 EAST 49TH STREET GROUND FLOOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-755-8808
Provider Business Mailing Address Fax Number:
212-755-1789

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
340 EAST 49TH STREET GROUND FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-755-8808
Provider Business Practice Location Address Fax Number:
212-755-1789
Provider Enumeration Date:
08/31/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BATTU
Authorized Official First Name:
VIJAY
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OPTHALMOLOGIST
Authorized Official Telephone Number:
212-755-8808

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  188012 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)