Individual
MR. KRISHNA P JETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12279 ROUTE 30, STE 200, NORTH HUNTINGDON, PA 15642-1849
(724) 864-4470
(724) 863-7120
Mailing address
12279 ROUTE 30, STE 200, NORTH HUNTINGDON, PA 15642-1849
(724) 864-4470
(724) 863-7120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD038024L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009633780001
—
PA
01
—
100159
UPNCE
PA
01
—
JE55077
BS
PA
Enumeration date
08/02/2006
Last updated
02/14/2013
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