DR. RAVI VARMA DATLA


Address: 2101 E Jefferson St, Suite 308, Rockville, MD 20852-4908
Phone: 3018167405

DR. RAVI VARMA DATLA (NPI# 1053596270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053596270
Entity Type Individual
Full Name DR. RAVI VARMA DATLA
Credential M.D.
Practice Address 2101 E Jefferson St
Suite 308
Rockville
MD 20852-4908
Practice Telephone 3018167405
Mailing Telephone 3018167405
Enumeration Date 2008-01-07
Last Update Date 2011-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 0101243191 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MT186124 PA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
VA 1053596270 05
CIGNA 4195775 01
VA ANTHEM 302011 01
VA RAILROAD MEDICARE P00729695 01

Office Location

Street Address 2101 E JEFFERSON ST
SUITE 308
City ROCKVILLE
State MD
Zip Code 20852-4908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851391775 Clifton Alexander Leftridge Jr. Radiology 2101 E Jefferson St, Rockville, MD 20852-4908 2005-07-22
1295212686 Dharti V. Patel Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2018-07-27
1003393752 Monet Stanford Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2018-07-25
1912417189 Oluwadamilola Omopariola Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2017-10-02
1528584224 Eileen Langstraat Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2017-08-15
1477076446 Natalie Lynne Kokta Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2017-07-21
1407378581 Kaysee Gruss Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2017-07-11
1659724748 Jasmine M. Ebron Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2016-07-13
1528436169 Diane Saade Nutritionist 2101 E Jefferson St, Rockville, MD 20852-4908 2015-09-14
1255716155 Jane Jinju Kim Pharmacist 2101 E Jefferson St, Rockville, MD 20852-4908 2015-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740811249 Christina L. Cervieri Md LLC Orthopaedic Surgery Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 2020-02-03
1073161253 Center for Transformative Care Clinic/Center 11140 Rockville Pike, #303, Rockville, MD 20852 2019-08-30
1073160388 Robin Burgess Nurse Practitioner 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 2019-08-21
1548722309 Anne Alexandre Home Health Aide 1600 Nebel St, Bethesda, MD 20852 2019-04-02
1043794464 Jeanne Marie Pantalone Social Worker 263 Congressional Lane Apt 605, Rockville, MD 20852 2018-09-21
1538640107 Jessica Kay Foos Occupational Therapy Assistant Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 2018-08-22
1447737218 Sara Haile Occupational Therapist Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 2018-07-25
1134605009 The Center for Conception and Pelvic Surgery, Inc Clinic/Center 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 2018-07-13
1598259095 Monroe Operations, LLC Clinic/Center 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 2018-06-18
1740771179 Advanced Practitioner Healthcare Networking, LLC Clinic/Center 6246 Montrose Rd, North Bethesda, MD 20852 2018-05-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134742695 Dura Internal Medicine Limited Liability Company Internal Medicine 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 2020-05-19
1457973026 Zeus Primary Care Associates LLC Internal Medicine 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 2020-05-17
1316509904 Brandi Michele Hurwitz Internal Medicine 1 Taft Ct, Rockville, MD 20850-5313 2019-07-03
1205345782 Vetfed Carenet Internal Medicine 15201 Diamondback Dr Ste 125, Rockville, MD 20850-3695 2017-09-27
1285086637 Namrata Paul Internal Medicine 5517 Alderbrook Ct Apt 204, Rockville, MD 20851-2416 2016-07-11
1093159279 Nilesh Tejura Internal Medicine 10110 Molecular Dr Ste 105, Rockville, MD 20850-7538 2013-04-18
1922366848 Michael Kaleko Internal Medicine 8 Hearthstone Ct, Rockville, MD 20854-2644 2012-04-28
1225304926 Meha Varma Internal Medicine 11125 Rockville Pike Ste 110, Rockville, MD 20852-3142 2012-03-27
1609146455 Optimal Medical Care Inc Internal Medicine 11119 Rockville Pike Ste 316, Rockville, MD 20852-3143 2012-01-11
1285920967 Anthony Bernard Campbell Internal Medicine 1 Choke Cherry Rd, Rockville, MD 20850-4084 2011-06-22
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Competitor

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City ROCKVILLE
Zip Code 20852

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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