Jetty, Preetham

Jetty, Preetham is an individual health care provider with primary practice located at 1210 A Medical Arts Blvd Suite 105, Anderson IN 46011-3437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jetty, Preetham can be contacted via phone (765) 298-4660.

Contact Information

Primary practice address
1210 A Medical Arts Blvd Suite 105 Anderson IN 46011-3437
Phone: (765) 298-4660
Fax: (765) 298-4926
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01040154A Indiana

Profile Details

NPI number 1962469510
LBN Legal business name Jetty, Preetham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 11th, 2021 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962469510 NPPES
Indiana Other 4218217 AETNA
Indiana MEDICAID 100120660 AETNA
Indiana Other 000000557249 AETNA
Indiana Other 000000586512 AETNA
Indiana Other P01214600 AETNA

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