Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nishta Polam, DO

Individual provider Psychiatry Physician · NPI 1548014889

Nishta Polam, DO is a Psychiatry Physician in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

965 Wilson Rd Rm A233
East Lansing, MI 48824-6410
Phone: (517) 353-4362
Fax: (517) 432-0927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5151016993 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548014889
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address4540 Hunt Club Dr Apt 1a, Ypsilanti, MI 48197-9097

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