Individual
DR. SUDHEER K POLISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Mailing address
5757 MONCLOVA RD STE 26, MAUMEE, OH 43537-1863
(419) 893-5557
(419) 893-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14573
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35.148982
OH
208M00000X
Hospitalist Physician
14573
NV
Other
Enumeration date
03/25/2010
Last updated
10/15/2025
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