Provider Demographics
NPI:1902972185
Name:BATCHIS, VAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:VAN
Middle Name:S
Last Name:BATCHIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GALAHAD WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-2641
Mailing Address - Country:US
Mailing Address - Phone:508-238-9693
Mailing Address - Fax:
Practice Address - Street 1:21 GALAHAD WAY
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-2641
Practice Address - Country:US
Practice Address - Phone:508-238-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA360322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
703443OtherTUFTS
B11433OtherBCBS
MA2001411Medicaid
B11433OtherBCBS