Search › Maryland › 207R00000X
Ravi Datla, M.D
NPI 1053596270 · on the registry since 2008
Practice
- Address
- 2101 E Jefferson St
Suite 308
Rockville, MD 20852 - Phone
- (301) 816-7405
- Organisation at this address
- Mid Atlantic Pemanente Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 96
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland