Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | GETP.201473 | LA |
Y | 208200000X | Surgeon | MFC1786 | FL |
Y | 208600000X | Surgeon | MFC1786 | FL |
NPI | 1366825408 |
---|---|
Provider Name | Dr. Narendra Battula |
First Address | Gainesville, FL 32610-0118 |
Second Address | Gainesville, FL 32610-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 05/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021424400 | (05) | FL |
JA574Z | MEDICARE (01) |