Provider Demographics
NPI:1023074747
Name:RATNER, RICHARD A (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:RATNER
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 1:5028 WISCONSIN AVE NW
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4118
Mailing Address - Country:US
Mailing Address - Phone:202-686-2200
Mailing Address - Fax:202-686-2208
Practice Address - Street 1:5028 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 303
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4118
Practice Address - Country:US
Practice Address - Phone:202-686-2200
Practice Address - Fax:202-686-2208
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD54922084F0202X
MDD00146822084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
18643Medicare UPIN
DCB93884Medicare UPIN
DC160568Medicare ID - Type UnspecifiedPROVIDER NO.
204563Medicare UPIN