Dr. Ravi Varma Datla, MD
Dr. Ravi Varma Datla, MD is an Internal Medicine in Rockville, Maryland. Qualified in 2001, 25 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.
- Years since qualifying
- 25
- Licensed in
- PA, VA
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2101 E Jefferson St Ste 308Rockville, MD 20852-4908
Phone: (301) 816-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 0101243191 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence MT186124 (PA) |
Record details
| NPI number | 1053596270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 7, 2008 |
| Last updated in NPPES | June 7, 2021 |
| Certification date | June 7, 2021 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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