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Jaskanwar S. Batra

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

PECOS Enrollment

This provider is enrolled in PECOS as JASKANWAR BATRA.

Based on the most recent information from CMS, provider Jaskanwar S. Batra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033183926
Provider Type
Individual
Full Name
Batra, Jaskanwar S.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/15/2006
Last Updated
1/25/2023

Contact Information

Practice Location

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

(323) 442-6000

Unlisted Fax

Mailing Location

PO Box 31309, Los Angeles, CA 90031-0309

(626) 457-6601

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License C183179 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 042-110011073 Vermont
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 60-27322 New York
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 273222 New York

Provider Identifiers

ID	Description	Issuer
ID 02529431	Description Medicaid	Issuer Unlisted New York

Jaskanwar S. Batra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cho, Stephanie Hyun

Hernandez, Bronte

Pompl, Patrick Nicholas

Duong, Tammy

Garrick, Thomas R

Gracer, Mira Shanks

Manchee, Charles Gladden

Wirshing, William Charles

Fu, Bo

Zuberi, Waqar