Provider Demographics
NPI:1104918077
Name:BATRA, LINA S (MD)
Entity type:Individual
Prefix:MRS
First Name:LINA
Middle Name:S
Last Name:BATRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHASHI
Other - Middle Name:
Other - Last Name:BATRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:220 BRIDGE STREET
Mailing Address - Street 2:BLDG E
Mailing Address - City:METOCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2291
Mailing Address - Country:US
Mailing Address - Phone:732-548-2500
Mailing Address - Fax:732-549-7070
Practice Address - Street 1:220 BRIDGE STREET
Practice Address - Street 2:BLDG E
Practice Address - City:METOCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2291
Practice Address - Country:US
Practice Address - Phone:732-548-2500
Practice Address - Fax:732-549-7070
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04114600207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4523105Medicaid
E53083Medicare UPIN
NJ4523105Medicaid