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Dr. Ravi Varma Datla, MD
Internal Medicine Physician in Rockville, Maryland
NPI 1053596270

Ravi Varma Datla is a Internal Medicine Physician based in Rockville, MD. Ravi Varma Datla practices in Rockville, MD and has the professional credentials of MD. The NPI Number for Ravi Varma Datla is 1053596270 and holds a License No. MT186124 (Maryland).

The current practice location address for Ravi Varma Datla is 2101 E Jefferson St, Rockville, MD and can be reached out via phone at 301-816-7405. You can also correspond with Ravi Varma Datla through the mailing address at 2101 E JEFFERSON ST, ROCKVILLE, MD - 20852-4908 (mailing address contact number: 301-816-7405).

Location: 2101 E Jefferson St, Rockville, MD, 20852-4908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053596270
Provider Name
Ravi Varma Datla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2101 E Jefferson St, Rockville, MD, 20852-4908
Phone Number
301-816-7405
Fax Number
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00729695 01 VA RAILROAD MEDICARE
4195775 01 CIGNA
1053596270 05 VA
302011 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
2101 E Jefferson St
City
Rockville
State
Maryland
Zip
20852-4908
Phone Number
301-816-7405
Fax Number
person
Provider Business Mailing Address Details
Address
2101 E Jefferson St
City
Rockville
State
Maryland
Zip
20852-4908
Phone Number
301-816-7405
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
0101243191 (Virginia)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT186124 (Pennsylvania)
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.
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