Individual
JYOTHI VATTIKUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Mailing address
5013 MAKEFIELD CT, CARY, NC 27519-7078
(919) 819-1987
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
05008617A
IN
Other
Enumeration date
09/03/2008
Last updated
10/22/2019
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