Individual
VYBHAV JETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
1001 BOULDERS PARKWAY, SUITE 110, RICHMOND, VA 23225
(804) 410-9749
Mailing address
1001 BOULDERS PARKWAY, SUITE 110, RICHMOND, VA 23225
(804) 410-9749
(804) 272-3409
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101282860
VA
Other
Enumeration date
04/22/2016
Last updated
10/29/2024
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