Whalio Doctors

NPI 1154524148

Vivekananda Varma Datla, MD

Practitioner Hospitalist Physician Ashland, KY

Practice location

Address
2201 Lexington Ave, Ashland, KY 41101-2843
Phone
(606) 408-4000
Fax
(606) 408-6825
Mailing address
PO Box 2379, Ashland, KY 41105-2379

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 43412 (KY)
Adult Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 43412 (KY)

Registry record

NPI
1154524148
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jun 2007
Record last updated
18 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.