Individual
DEEPTHI YETURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 POST RD FL 2, FAIRFIELD, CT 06824-6232
(032) 597-4422
Mailing address
501 BATH RD, BRISTOL, PA 19007-3101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72073
CT
207R00000X
Internal Medicine Physician
Primary
MT219555
PA
Other
Enumeration date
08/21/2019
Last updated
10/28/2022
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