Individual
DR. SATYA DATLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E CHEVES ST, MCLEOD REGIONAL MEDICAL CENTER, FLORENCE, SC 29506-2617
(248) 990-5955
Mailing address
2151 E 10 MILE RD, APT 102, ROYAL OAK, MI 48067-3515
(248) 990-5955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD39296
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2013
Last updated
06/27/2016
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