Individual
DR. RATNAVALI KOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16003 COMPRINT CIR, GAITHERSBURG, MD 20877-1318
(301) 869-2358
(301) 593-1061
Mailing address
16003 COMPRINT CIRCLE, GAITHERSBURG, MD 20877-1318
(301) 869-2358
(301) 593-1061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0061502
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039326600
—
DC
05
—
413840600
—
MD
Enumeration date
10/02/2006
Last updated
06/20/2019
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