Individual
MADHU M. BATCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 W CENTRE AVE, BOX 42, PORTAGE, MI 49024-4828
(269) 324-4141
(269) 324-2020
Mailing address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-4141
(269) 324-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104840529
BCBSM - BPM
MI
05
—
1174691604
—
MI
05
—
413407610
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
MB067972
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
10/30/2014
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