| NPI | 1114029212 |
|---|---|
| Former Legal Business Name | JYOTHI METTU MD PSC |
| Entity Type | Organization |
| Authorized Contact | JUDY ROBINSON Manager 606-437-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-08-29 |