# R.V. METTU,M.D PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346351319
- **Authorized official:** RAMANARAO V METTU M.D. (PRESIDENT)
- **Authorized official phone:** (606) 437-7662

## Contact information

- **Practice address:** 387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
- **Practice address phone:** (606) 437-4925
- **Practice address fax:** (606) 437-4930
- **Mailing address:** 387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
- **Mailing address phone:** (606) 437-4925
- **Mailing address fax:** (606) 437-4930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | KY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010039363 | — | VA |
| 01 | — | 016046300 | FEDERAL BLACK LUNG | KY |
| 05 | — | 0219334001 | — | WV |
| 01 | — | 6277638 | UMWA | KY |
| 05 | — | 64219561 | — | KY |
