Raju Datla
Raju Datla is an Other Technician in Burtonsville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
14920 Old Columbia PikeBurtonsville, MD 20866-1610
Phone: (240) 305-3484
Fax: (301) 476-7544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1487319273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 5, 2021 |
| Last updated in NPPES | November 5, 2021 |
| Certification date | November 5, 2021 |
| Mailing address | 14920 Old Columbia Pike, Burtonsville, MD 20866-1610 |