Provider Demographics
NPI:1104111855
Name:BATRA, AYUSH (MD)
Entity type:Individual
Prefix:DR
First Name:AYUSH
Middle Name:
Last Name:BATRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWESTERN MEMORIAL HOSPITAL/NMG-NEUROLOGY
Mailing Address - Street 2:675 NORTH ST. CLAIR, GALTER 20-100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NORTHWESTERN MEMORIAL HOSPITAL/NMG-NEUROLOGY
Practice Address - Street 2:675 NORTH ST. CLAIR, GALTER 20-100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1011
Practice Address - Country:US
Practice Address - Phone:617-286-6419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361437032084N0400X, 2084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology