Provider Demographics
NPI:1811125537
Name:BATTINENI, VENKATESWARLU
Entity type:Individual
Prefix:
First Name:VENKATESWARLU
Middle Name:
Last Name:BATTINENI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LEAH WAY
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3448
Mailing Address - Country:US
Mailing Address - Phone:973-463-9698
Mailing Address - Fax:
Practice Address - Street 1:730 COURTLANDT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-7800
Practice Address - Country:US
Practice Address - Phone:718-292-5572
Practice Address - Fax:718-665-5358
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy