Individual provider · Type 1 NPI

Nicholos Poothullil Joseph, MD

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1063107043 Active

Practice location

777 Bannock St # MC0108
Denver, CO 80204-4597

Call (303) 602-5193 Map

Other practice locations

  • 10350 E Dakota Ave, Denver, CO 80247-1314 · (303) 338-4545
  • 12505 East 16th Ave, Aurora, CO 80045 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDR.0077856 (CO)
Emergency Medicine Physician 207P00000XDR.0077856 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063107043

Nicholos Poothullil Joseph, MD's National Provider Identifier is 1063107043, issued on Apr 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Oct 19, 2026.