Kolla, Ratnavali
Kolla, Ratnavali is an sole proprietor health care provider with primary practice located at 16003 Comprint Cir , Gaithersburg MD 20877-1318. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kolla, Ratnavali can be contacted via phone (301) 869-2358.Contact Information
Primary practice address
16003 Comprint Cir
Gaithersburg MD 20877-1318
Phone: (301) 869-2358
Fax: (301) 593-1061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0061502 | Maryland |
Profile Details
| NPI number | 1174617625 |
|---|---|
| LBN Legal business name | Kolla, Ratnavali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 20th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174617625 | NPPES |
| District of Columbia | MEDICAID | 039326600 | |
| District of Columbia | MEDICAID | 413840600 |
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