Basic Information
Provider Information
NPI: 1306824081
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATUURE
FirstName: ABEL
MiddleName: BERRTAH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200172104
CountryCode: US
TelephoneNumber: 2024484069
FaxNumber: 2022697825
Practice Location
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200172104
CountryCode: US
TelephoneNumber: 2024484069
FaxNumber: 2022697825
Other Information
ProviderEnumerationDate: 01/04/2006
LastUpdateDate: 04/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XD0032926MDN Other Service ProvidersSpecialist 
207L00000XMD18270DCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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