Datla, Vivekananda Varma

Datla, Vivekananda Varma is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Datla, Vivekananda Varma can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Phone: (606) 408-4000
Fax: (606) 408-6825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 43412 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 43412 Kentucky

Profile Details

NPI number 1154524148
LBN Legal business name Datla, Vivekananda Varma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated May 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154524148 NPPES
Ohio MEDICAID 3066524
Ohio MEDICAID 7100129360

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