Provider Demographics
NPI:1053733196
Name:VIJAY K. BATTU M.D., P.C.
Entity type:Organization
Organization Name:VIJAY K. BATTU M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:BATTU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-636-2070
Mailing Address - Street 1:55 GREENE AVE
Mailing Address - Street 2:2B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6406
Mailing Address - Country:US
Mailing Address - Phone:718-636-2070
Mailing Address - Fax:212-755-1789
Practice Address - Street 1:55 GREENE AVE
Practice Address - Street 2:2B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6406
Practice Address - Country:US
Practice Address - Phone:718-636-2070
Practice Address - Fax:212-755-1789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIJAY K. BATTU M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty