Provider Demographics
NPI:1487339370
Name:BATRA, PRIYANKA (MD)
Entity type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:BATRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRIYANKA
Other - Middle Name:
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:EVANSTON HOSPITAL
Mailing Address - Street 2:2650 RIDGE AVENUE
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201
Mailing Address - Country:US
Mailing Address - Phone:847-570-2019
Mailing Address - Fax:847-570-1938
Practice Address - Street 1:EVANSTON HOSPITAL
Practice Address - Street 2:2650 RIDGE AVENUE
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-570-2019
Practice Address - Fax:847-570-1938
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2024-02-21
Deactivation Date:2024-01-25
Deactivation Code:
Reactivation Date:2024-02-21
Provider Licenses
StateLicense IDTaxonomies
IL125082107207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology