Provider Demographics
NPI:1588780332
Name:MUNISH K. BATRA, M.D., P.C.
Entity type:Organization
Organization Name:MUNISH K. BATRA, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNISH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-847-0800
Mailing Address - Street 1:12264 EL CAMINO REAL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3060
Mailing Address - Country:US
Mailing Address - Phone:858-847-0800
Mailing Address - Fax:858-724-0450
Practice Address - Street 1:12264 EL CAMINO REAL
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3060
Practice Address - Country:US
Practice Address - Phone:858-847-0800
Practice Address - Fax:858-724-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA71492OtherDR. CAMBEROS STATE LICENS
CA1497847875OtherDR. BATRA NPI
CA1942225388OtherDR. CAMBEROS NPI
CA1629165428OtherDR. GUPTA NPI
CAA88550OtherDR. GUPTA STATE LICENSE
CAG83246OtherDR. BATRA STATE LICENSE
CAG83246BMedicare ID - Type UnspecifiedDR. BATRA MEDICARE
CAA71492OtherDR. CAMBEROS STATE LICENS
CAG83246OtherDR. BATRA STATE LICENSE
CAA88550OtherDR. GUPTA STATE LICENSE
CAH85321Medicare UPIN