Organization
R.V. METTU,M.D PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMANARAO V METTU M.D. (PRESIDENT)
(606) 437-7662
Entity
Organization
Contact information
Practice address
387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Mailing address
387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
KY
Other
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
Enumeration date
08/31/2006
Last updated
04/21/2017
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