Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Yesu Matta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851648471

Dr. Yesu Matta, MD is a Student in an Organized Health Care Education/Training Program in Middletown, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

675 Main St
Middletown, CT 06457-0645
Phone: (860) 347-6971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 Lenox Ave # Mlk17110, New York, NY 10037-1802 — (212) 939-4019

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 64545 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851648471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2012
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address506 Lenox Ave # Mlk17110, New York, NY 10037-1802

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