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Contact Information

VIVEKANANDA V DATLA, MD
2201 LEXINGTON AVE
ASHLAND, KY41101-2843
 Phone: 606-408-4000
 Fax: 606-408-6825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VIVEKANANDA V DATLA · (Male)

NPI Number 1154524148
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2007
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 43412
  • KY Medicaid 7100129360
  • OH Medicaid 3066524
Hospital affiliation(s)
  • KING'S DAUGHTERS' MEDICAL CENTER - (Acute Care)
    2201 LEXINGTON AVENUE
    ASHLAND, KY 41101
  • KINGS DAUGHTERS MEDICAL CENTER OHIO - (Acute Care)
    1901 ARGONNE ROAD
    PORTSMOUTH, OH 45662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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