Ravi Varma Datla in Rockville - Student In An Organized Health Care Education/training Program

Ravi Varma Datla - NPI 1053596270

Ravi Varma Datla is a Student In An Organized Health Care Education/training Program in Rockville, Maryland. Ravi Varma Datla practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Ravi Varma Datla is 1053596270. The last update date is 2021-06-07.

Ravi Varma Datla's current location address is 2101 E Jefferson St, Rockville, Maryland. You can contact this provider via phone number 3018167405. The mailing address for Ravi Varma Datla is 2101 E Jefferson St, Rockville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Ravi Varma Datla
Address 2101 E Jefferson St, Rockville, Maryland
Phone Number 3018167405
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1053596270
Provider Enumeration Date 2008-01-07
Last Updated Date 2021-06-07

Provider Mailing Address Detail

Address 2101 E Jefferson St
City Rockville
State Maryland (MD)
Post Code 208524908
Phone Number 3018167405
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No MT186124
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00729695 VA RAILROAD MEDICARE
4195775 CIGNA
1053596270 VA --
302011 VA ANTHEM

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FAQs about Ravi Varma Datla

What is the unique provider identifier assigned to Ravi Varma Datla?

The Ravi Varma Datla has been issued the NPI (National Provider Identifier) 1053596270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Ravi Varma Datla?

The Ravi Varma Datla is physically situated at 2101 E Jefferson St, in the city of Rockville, state of MD, with the postal code 208524908.

What is Ravi Varma Datla's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ravi Varma Datla is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.

When did Ravi Varma Datla receive its 1053596270 assignment?

The Ravi Varma Datla was assigned its 1053596270 on 2008-01-07, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Ravi Varma Datla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ravi Varma Datla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-07.

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