Provider Demographics
NPI:1174528152
Name:RATZMAN, DAVID M (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:RATZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8240 NAAB RD
Mailing Address - Street 2:STE 101
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5927
Mailing Address - Country:US
Mailing Address - Phone:317-417-1400
Mailing Address - Fax:317-471-1900
Practice Address - Street 1:8240 NAAD RD
Practice Address - Street 2:STE 101
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1985
Practice Address - Country:US
Practice Address - Phone:317-417-1400
Practice Address - Fax:317-471-1900
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2025-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01042948208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN214565OtherBCBS
IN200186160Medicaid
360010800OtherDEPT OF LABOR
050086532OtherRR MEDICARE
0005243684OtherAETNA
IN214565OtherBCBS
0005243684OtherAETNA
IN221740AMedicare PIN