Datla, Raju

Datla, Raju is an sole proprietor health care provider with primary practice located at 14920 Old Columbia Pike , Burtonsville MD 20866-1610. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Datla, Raju can be contacted via phone (240) 305-3484.

Contact Information

Primary practice address
14920 Old Columbia Pike Burtonsville MD 20866-1610
Phone: (240) 305-3484
Fax: (301) 476-7544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1487319273
LBN Legal business name Datla, Raju
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2021
Last updated Nov 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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