Basic Information
Provider Information
NPI: 1174835565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATRA
FirstName: RASHMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1018 ARCADIA AVE
Address2: UNIT#2
City: ARCADIA
State: CA
PostalCode: 910077183
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1500 DUARTE RD
Address2: DEPARTMENT OF PATHOLOGY
City: DUARTE
State: CA
PostalCode: 910103012
CountryCode: US
TelephoneNumber: 6262564673
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2010
LastUpdateDate: 04/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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