Most Relevant Information
Provider Data
| NPI Number: | 1003258237 |
| Provider Name: | SATYA DATLA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2013 |
| Last Updated: | 06/27/2016 |
Provider Practice Location
555 E CHEVES ST
MCLEOD REGIONAL MEDICAL CENTER
FLORENCE
SC
295062617
Practice Location Phone/Fax
| Phone: | 2489905955 |
| Fax: |
Provider Mailing Location
2151 E 10 MILE RD
APT 102
ROYAL OAK
MI
480673515
Provider Mailing Phone/Fax
| Phone: | 2489905955 |
| Fax: |