Vivekananda Varma Datla, M.D., Valid NPI
Individual provider · Hospitalist Physician · Ashland, KY
- NPI
- 1154524148
- Type
- Individual (Type 1)
- Primary specialty
- Hospitalist Physician (Hospitalist)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208M00000X
- License number
- 43412 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-06-07
- Last updated
- 2022-05-18
Practice location
2201 Lexington Ave
Ashland, KY 41101-2843
(606) 408-4000