Matta, Jyothi

Matta, Jyothi is an individual health care provider with primary practice located at 411 E Chestnut St # 5A , Louisville KY 40202-1713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Matta, Jyothi can be contacted via phone (502) 588-7450.

Contact Information

Primary practice address
411 E Chestnut St # 5A Louisville KY 40202-1713
Phone: (502) 588-7450
Fax: (502) 588-7728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 43892 Kentucky

Profile Details

NPI number 1073523684
LBN Legal business name Matta, Jyothi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 26th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073523684 NPPES
Kentucky MEDICAID 7100127790
Kentucky MEDICAID 036115369 1
Kentucky MEDICAID 200998450

Popular Providers