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Individual

MR. JAYANTH K GUTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 S MAIN ST, SUITE 3, CELINA, OH 45822-2479
(419) 586-3017
(419) 586-3174
Mailing address
830 W MAIN ST, COLDWATER, OH 45828-1626
(567) 890-7143
(419) 586-0812

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35087081
OH
207RP1001X
Pulmonary Disease Physician
Primary
35087081
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35-087081
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2631370
OH
Enumeration date
06/02/2006
Last updated
10/09/2025
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