Sree Datla, is a
Student In An Organized Health Care Education/training Program physician based in Colton, California. Sree Datla is licensed to practice in * (Not Available) (license number ) and his current practice location is 400 N Pepper Ave, Colton, California. He can be reached at his office (for appointments etc.) via phone at
(877) 873-2762.
NPI number for Sree Datla is 1023704319 and his current mailing address is 400 N Pepper Ave, Colton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023704319.
Physician's Profile
| Full Name | Sree Datla |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 400 N Pepper Ave, Colton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023704319
- Provider Enumeration Date: 04/11/2023
- Last Update Date: 12/22/2023
Medical Identifiers
Medical identifiers for Sree Datla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023704319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 102370419 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sree Datla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sree Datla,
400 N Pepper Ave,
Colton, CA 92324-1801
Ph: () - | Sree Datla,
400 N Pepper Ave,
Colton, CA 92324-1819
Ph: (877) 873-2762 |
Reviews and Comments