Individual
USHA S POLISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STERLING AVE, BOX 7, MT STERLING, KY 40353-1100
(859) 497-7781
(859) 497-6017
Mailing address
PO BOX 1071, PIKEVILLE, KY 41702-9483
(859) 497-7781
(859) 497-6017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64238249
—
KY
Enumeration date
01/27/2006
Last updated
09/28/2011
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