Ravi Varma Datla M.D.

NPI 1053596270 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1053596270
Gender Male
Enumeration Date 01/07/2008
Last Updated 02/04/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
2101 E JEFFERSON ST
SUITE 308
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-7405
Fax
Business Location
2101 E JEFFERSON ST
SUITE 308
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-7405
Fax
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number MT186124
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According to our database, Dr. Ravi Varma Datla M.D. NPI is 1053596270, taxonomy code is 390200000X and license number is MT186124, license state is located at Pennsylvania. Ravi Varma Datla M.D. physically located at 2101 E Jefferson St, Rockville MD, 20852-4908. NPI Number Ravi Varma Datla M.D. has the Individual type.

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1053596270 NPI number is provided on an as is basis without warranty of any kind. 1053596270 is maintained by the National Plan & Provider Enumeration System. The contents of Ravi Varma Datla M.D. are for informational purposes only.