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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1053596270 | 05 | |
| CIGNA | 4195775 | 01 | |
| VA | ANTHEM | 302011 | 01 |
| VA | RAILROAD MEDICARE | P00729695 | 01 |
| Street Address |
2101 E JEFFERSON ST SUITE 308 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-4908 |
| 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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| 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 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 |
| Find all providers in ROCKVILLE | ||||
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| 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.