Ravi V Datla (NPI# 1053596270, PAC ID# 1052488400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053596270 |
| PAC ID by PECOS | 1052488400 |
| Professional Enrollment ID | I20110321000189 |
| Full Name | Ravi V Datla |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Address |
1447 York Rd Suite 100 Lutherville MD 21093-6074 |
| Phone Number | 4103395500 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779495858 |
| Number of Group Practice Members | 1669 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210044 | GREATER BALTIMORE MEDICAL CENTER |
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1447 York Rd, Suite 100, Lutherville, MD 21093-6074 | 4103395500 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Physicians | 1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joon Young Jang | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Lytia Fisher | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Tomika Coleman | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 |
| Juliana Llano | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 |
| Roxanne C Orion | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 |
| Keith M Egan | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| James Ritchie Jezior | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 |
| David Leng | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 43480 Yukon Dr, Suite 100, Ashburn, VA 20147-6988 |
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Nevi Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Street Address |
1447 YORK RD SUITE 100 |
| City | LUTHERVILLE |
| State | MD |
| Zip | 21093-6074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitesh Trambadia | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1447 York Rd, Suite 100, Lutherville, MD 21093-6074 |
| Kelley M Finck | Qualified Audiologist | Hearing Assessment Center, LLC | 1447 York Rd, Suite 312, Lutherville, MD 21093-6072 |
| Yodit W Negusse | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1447 York Rd, Suite 100, Lutherville, MD 21093-6074 |
| Arpan Himanshu Patel | Gastroenterology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1447 York Rd, Suite 100, Lutherville, MD 21093-6074 |
| Kristi G Hall | Psychologist, Clinical | Windrush Behavioral Health LLC | 1447 York Rd, Suite 506, Lutherville, MD 21093-6022 |
| Saif U Syed | Dermatology | Skin Care Specialty Physicians LLC | 1447 York Rd, Suite 301, Lutherville, MD 21093-6022 |
| Nicole G Conkling | Nurse Practitioner | Windrush Behavioral Health LLC | 1447 York Rd, Suite 506, Lutherville, MD 21093-6022 |
| Samantha F Vincent | Dermatology | Skin Care Specialty Physicians LLC | 1447 York Rd, Suite 301, Lutherville, MD 21093-6022 |
| Jamie Lynn Vanartsdalen | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1447 York Rd, Suite 100, Lutherville, MD 21093-6074 |
| Katelyn Marie Leitner | Qualified Audiologist | Hearing Assessment Center, LLC | 1447 York Rd, Suite 312, Lutherville, MD 21093-6072 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Wynes | Podiatry | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Christina M. Penny | Physical Therapy | Gbmc Wp Pt | Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093 |
| Kristen B Rose | Nurse Practitioner | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Joshua M Abzug | Orthopedic Surgery | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Kyle H Yost | Family Medicine | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Debby L Taylor | Nurse Practitioner | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Kendall L Buraimoh | Physical Medicine and Rehabilitation | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Jenna M Levy | Physician Assistant | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| James Neal Hicks Jr. | Physical Therapy | Gbmc Wp Pt | Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093 |
| Vincent Y Ng | Orthopedic Surgery | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
| Find all physicians in zip 21093 | |||
| City | LUTHERVILLE |
| Zip Code | 21093 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LUTHERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ravi V Datla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.