VIVEKANANDA VARMA DATLA M.D.,
Individual Provider (NPI-1)
Active
Hospitalist
Provider Information
- NPI Number
1154524148- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.,
- Status
- Active
Contact & Location
- Address
- 2201 LEXINGTON AVE, ASHLAND, KY, 411012843
- Phone
- (606) 408-4000
- Fax
- (606) 408-6825
Specialties & Taxonomies
Family Medicine, Adult Medicine
License: KY #43412
Hospitalist
Primary License: KY #43412