Individual
KRISHNA KANTH R METTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4351
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
T2003012955
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
2009008002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508977257
—
MO
Enumeration date
08/31/2006
Last updated
07/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us