Vivekananda Varma Datla, MD
Vivekananda Varma Datla, MD is a Hospitalist in Ashland, Kentucky. Qualified in 2000, 26 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 26
- Licensed in
- KY
- In the registry since
- 2007
- 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
2201 Lexington AveAshland, KY 41101-2843
Phone: (606) 408-4000
Fax: (606) 408-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence 43412 (KY) |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence 43412 (KY) |
Record details
| NPI number | 1154524148 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2007 |
| Last updated in NPPES | May 18, 2022 |
| Certification date | May 18, 2022 |
| Mailing address | Po Box 2379, Ashland, KY 41105-2379 |
Medicare enrollment
| Medicare specialty | HOSPITALIST |
|---|---|
| Also practises | FAMILY PRACTICE |
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Kings Daughters Medical Specialties Inc — 387 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ashland
-
Malcolm H King, MDPSC
2301 Lexington Ave Ste 205, Ashland, KY 41101-2873 · (606) 325-9633
-
Malcolm H. King, PSC
2301 Lexington Ave Ste 205, Ashland, KY 41101-2873 · (606) 325-9633