Healthcare Provider Details

I. General information

NPI: 1558396374
Provider Name (Legal Business Name): USHA R. ALAPATI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLY PL NYHHS DERMATOLOGY DEPARTMENT (130)
BROOKLYN NY
11209-7104
US

IV. Provider business mailing address

800 POLY PLACE NYHHS DERMATOLOGY DEPARTMENT (130)
BROOKLYN NY
11209
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-3725
  • Fax: 718-630-2881
Mailing address:
  • Phone: 718-630-3725
  • Fax: 718-630-2881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number173310
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number173310
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: