Polisetty, Usha S

Polisetty, Usha S is an sole proprietor health care provider with primary practice located at 50 Sterling Ave Box 7, Mt Sterling KY 40353-1100. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Polisetty, Usha S can be contacted via phone (859) 497-7781.

Contact Information

Primary practice address
50 Sterling Ave Box 7 Mt Sterling KY 40353-1100
Fax: (859) 497-6017
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23824 Kentucky

Profile Details

NPI number 1073584389
LBN Legal business name Polisetty, Usha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Sep 28th, 2011 - about 13 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 1073584389 NPPES
Kentucky MEDICAID 64238249

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