Individual
SHELLY BATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
(602) 235-9159
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 235-9159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5268
AZ
208M00000X
Hospitalist Physician
5268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441146
—
AZ
Enumeration date
06/03/2009
Last updated
05/16/2011
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