Individual
PRABHAKAR BATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 721-8507
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 722-5187
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
030266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G30266
—
SC
Enumeration date
08/30/2006
Last updated
07/09/2007
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