Healthcare Provider Details
I. General information
NPI: 1972547529
Provider Name (Legal Business Name): DAVID S BATT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 N SENATE BLVD STE 315
INDIANAPOLIS IN
46202-1252
US
IV. Provider business mailing address
250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US
V. Phone/Fax
- Phone: 317-962-3500
- Fax: 317-962-2735
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 01030736A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 01030736 |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 01030736A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: