DR. Ravi Varma Datla, M.D.

NPI #1053596270 in Rockville, Maryland

Provider Information

NPI Number
1053596270
Entity Type
Individual
Name
DR. Ravi Varma Datla, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Jan 7, 2008
Last Updated
Jun 7, 2021

Practice Location

Address
2101 E JEFFERSON ST
Address 2
SUITE 308
ZIP Code
20852-4908
Phone
(301) 816-7405

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine

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