Provider Demographics
NPI:1285689224
Name:BATRA, NIKESH (MD)
Entity type:Individual
Prefix:DR
First Name:NIKESH
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 1:1090 BEECHER XING N STE A
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4566
Mailing Address - Country:US
Mailing Address - Phone:614-392-5336
Mailing Address - Fax:614-392-5339
Practice Address - Street 1:1090 BEECHER XING N STE A
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4566
Practice Address - Country:US
Practice Address - Phone:614-392-5336
Practice Address - Fax:614-392-5339
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081178207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2318423Medicaid
4081132Medicare ID - Type Unspecified
OH2318423Medicaid