Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAISE THEKKAN POULOSE, M.D.
ActiveJAISE THEKKAN POULOSE, M.D. is a Critical Care Medicine healthcare provider located in EDGEWOOD, Kentucky. NPI 1497872675 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · EDGEWOOD, KY
Registration Details
- NPI Number
- 1497872675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2007 (19.403975557781 yrs)
- Last Updated
- Aug 6, 2025
- Licenses
-
11150 (ND)50104 (MN)MD.207663 (LA)53941 (KY)
Practice Information
- Address
-
1 MEDICAL VILLAGE DREDGEWOOD, KY, 410173403Browse KY providers · Browse ZIP 41017
- Phone
- 8597572927
- Fax
- 8593410203
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in EDGEWOOD, KY
| Name | Credential | NPI |
|---|---|---|
| DR. RYAN GARNER MIHATA | MD | 1760466726 |
| DR. HANI MURAD | M.D. | 1982610069 |
| ABAYOMI OGUNDERU | MD | 1346656741 |
| SAMINDER SINGH KALRA | MD | 1558746404 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.