Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 71313 | WI |
NPI | 1013086750 |
---|---|
Provider Name | Mrs. Nandita Batchra |
First Address | Mount Pleasant, WI 53406-3735 |
Second Address | Mount Pleasant, WI 53406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 12/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100090092 | (05) | WI |