Vivekananda Varma Datla in Ashland - Adult Medicine
Vivekananda Varma Datla - NPI 1154524148
Vivekananda Varma Datla is a Adult Medicine in Ashland, Kentucky. Vivekananda Varma Datla practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Vivekananda Varma Datla is 1154524148. The last update date is 2022-05-18.
Vivekananda Varma Datla's current location address is Po Box 2379, Ashland, Kentucky. You can contact this provider via phone number 6064086200 and fax number 6064086612. The mailing address for Vivekananda Varma Datla is Po Box 2379, Ashland, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vivekananda Varma Datla |
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Address | Po Box 2379, Ashland, Kentucky |
Phone Number | 6064086200 |
Fax Number | 6064086612 |
Sole Proprietor | N |
Credentials | M.D., |
NPI Number Detail
NPI Number | 1154524148 |
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Provider Enumeration Date | 2007-06-07 |
Last Updated Date | 2022-05-18 |
Provider Mailing Address Detail
Address | Po Box 2379 |
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City | Ashland |
State | Kentucky (KY) |
Post Code | 411052379 |
Phone Number | 6064086200 |
Fax Number | 6064086612 |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
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Taxonomy | 207Qa0505X |
Licence No | 43412 |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3066524 | OH | -- | |
7100129360 | KY | -- |
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What is the unique 10-digit identification code issued to Vivekananda Varma Datla by the Centers for Medicare & Medicaid Services?
The Vivekananda Varma Datla has been assigned the NPI (National Provider Identifier) 1154524148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Vivekananda Varma Datla is geographically located?
The Vivekananda Varma Datla is physically situated at the following location: Po Box 2379, Ashland, KY, 411052379.
What is Vivekananda Varma Datla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vivekananda Varma Datla is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.
On what date did the Vivekananda Varma Datla receive the assignment of its 1154524148 from the Centers for Medicare & Medicaid Services?
The Vivekananda Varma Datla was issued its 1154524148 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date were the details related to Vivekananda Varma Datla most recently updated or revised?
The information pertaining to Vivekananda Varma Datla, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-18.
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