Individual
POONAM BATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD, BUILDING 500 RADIOLOGY, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BUILDING 500 RADIOLOGY, LOS ANGELES, CA 90073
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A36322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A363220
—
CA
Enumeration date
07/05/2006
Last updated
08/25/2009
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