Provider Demographics
NPI:1912203829
Name:BATOOL, ASRA (MD)
Entity type:Individual
Prefix:DR
First Name:ASRA
Middle Name:
Last Name:BATOOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3747 ROSWELL RD STE 318
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6227
Mailing Address - Country:US
Mailing Address - Phone:470-267-1520
Mailing Address - Fax:770-999-2673
Practice Address - Street 1:3747 ROSWELL RD STE 318
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6227
Practice Address - Country:US
Practice Address - Phone:470-267-1520
Practice Address - Fax:770-999-2673
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA101147207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology