Individual provider · NPI-1
Glenn Mitra Batiller, MD
Anesthesiology · Lafayette, IN
NPI number1346212487
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1346212487
- Entity type
- Individual (NPI-1)
- Name
- Glenn Mitra Batiller
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2006
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 01059881A | IN | Yes |
| 207L00000X | Anesthesiology | 15892 | OK | |
| 207L00000X | Anesthesiology | 036084852 | IL |
Practice location
5165 Mccarty LnLafayette, IN 47905-8764
Phone 765-448-8000 · Fax 765-838-4758
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
11518 Tillbury Cv
Fort Wayne, IN 46845-2138
Fort Wayne, IN 46845-2138
Phone 260-338-1660
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Oklahoma City, OK 73104-5036
Phone 405-271-4351 · Fax 405-271-8695
151 Pennsylvania Pkwy
Carmel, IN 46280-1379
Carmel, IN 46280-1379
Phone 317-732-0050 · Fax 317-732-0050
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Indianapolis, IN 46202-1239
Phone 317-274-0275 · Fax 317-274-0256
25 N Winfield Rd
Winfield, IL 60190-1379
Winfield, IL 60190-1379
Phone 630-933-6675 · Fax 630-933-2614
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