Individual
NITYA BATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
3701 DANFORTH DR APT 118, JACKSONVILLE, FL 32224-5216
(248) 376-3438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351049343
MI
207RH0003X
Hematology & Oncology Physician
Primary
ME172297
FL
Other
Enumeration date
07/18/2022
Last updated
06/18/2025
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