Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 255392 | MA |
N | 111NI0900X | Internist | 255392 | MA |
N | 207R00000X | Internist | MD048337 | DC |
N | 111NI0900X | Internist | MD048337 | DC |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD048337 | DC |
N | 207RC0000X | Internist - Cardiovascular Disease | 298506 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | MD048337 | DC |
NPI | 1861830671 |
---|---|
Provider Name | Dr. Supria Batra |
First Address | Washington, DC 20037-3201 |
Second Address | Washington, DC 20037-3201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 13/01/2021 |