Individual provider · Type 1 NPI

Jaise Thekkan Poulose, MD

Critical Care Medicine (Internal Medicine) Physician · Edgewood, KY

NPI number 1497872675 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Call (859) 757-2927 Map

Fax (859) 341-0203

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Other practice locations

  • 320 W 18th St, Hopkinsville, KY 42240-1965 · (270) 887-0100

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X11150 (ND)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X50104 (MN)
Pulmonary Disease Physician 207RP1001XMD.207663 (LA)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X53941 (KY)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

515 other providers at this address

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About NPI 1497872675

Jaise Thekkan Poulose, MD's National Provider Identifier is 1497872675, issued on Mar 23, 2007. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Edgewood, KY. The record was last updated on Aug 6, 2025.