Provider Demographics
NPI:1194897298
Name:BATANIDES, STEVEN N (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:BATANIDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5150 GRAVES AVE
Mailing Address - Street 2:SUITE 11B
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-5013
Mailing Address - Country:US
Mailing Address - Phone:408-255-7077
Mailing Address - Fax:408-855-5568
Practice Address - Street 1:5150 GRAVES AVE
Practice Address - Street 2:SUITE 11B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5013
Practice Address - Country:US
Practice Address - Phone:408-255-7077
Practice Address - Fax:408-855-5568
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG30145207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44305Medicare UPIN
CA00G301452Medicare PIN
CAZZZ32753ZMedicare ID - Type Unspecified