Individual
KARTHIK RAO POLSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3020
(775) 453-8111
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01069113A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201021910
—
IN
01
—
P01270962
RR MEDICARE
IN
Enumeration date
07/24/2008
Last updated
11/27/2023
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