Provider Demographics
NPI:1861830671
Name:BATRA, SUPRIA (MD)
Entity type:Individual
Prefix:DR
First Name:SUPRIA
Middle Name:
Last Name:BATRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4401
Mailing Address - Country:US
Mailing Address - Phone:301-656-5050
Mailing Address - Fax:301-654-4237
Practice Address - Street 1:5530 WISCONSIN AVE STE 700
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4401
Practice Address - Country:US
Practice Address - Phone:301-656-5050
Practice Address - Fax:301-654-4237
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0102878207R00000X, 207RA0001X, 207RC0000X
MA255392207R00000X
DCMD048337207R00000X, 207RC0000X, 207RA0001X
NY298506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease