Organization
EAST KY PULMONARY & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMANARAO V METTU M.D. (PRESIDENT)
(606) 437-4925
Entity
Organization
Contact information
Practice address
387 TOWN MOUNTAIN RD, SUITE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Mailing address
387 TOWN MOUNTAIN RD, SUITE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240108000
—
WV
05
—
65905481
—
KY
Enumeration date
08/31/2006
Last updated
07/12/2007
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