Active NPIIndividual providerSole proprietor

Alva C Poulos Jr., MD

Family Medicine in Cranston, Rhode Island

NPI Number1376292193
Practice location
1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486
Fax
401-464-4071
Last updated
May 9, 2025

Alva Curtis Poulos is a Family Medicine based in Cranston, RI. Alva Curtis Poulos practices in Cranston, RI and has the professional credentials of MD. The NPI Number for Alva Curtis Poulos is 1376292193 and holds a License No. MMD.87769 (SC). The current practice location address for Alva Curtis Poulos is 1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486 and can be reached out via phone at 401-944-4300 and via fax at 401-464-4071.

Provider Profile Details

NPI Number
1376292193
Provider Name
Alva Curtis Poulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486
Phone Number
401-944-4300
Fax Number
401-464-4071
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2022
Last Update Date
May 9, 2025
Certification Date
April 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Pontiac Ave Ste 101
Cranston, RI 02920-4486
Zip
02920-4486
Phone Number
401-944-4300
Fax Number
401-464-4071
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541
Phone Number
401-444-6779

License Information

License Number (1)
MMD.87769
License State (1)
SC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
MD20550
License State (2)
RI
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alva C Poulos Jr., MD?

The NPI number of Alva C Poulos Jr., MD is 1376292193. It was assigned on March 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Alva C Poulos Jr., MD?

Alva C Poulos Jr., MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in SC under license number MMD.87769.

Where does Alva C Poulos Jr., MD practice?

The practice location is 1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486. The office can be reached at 401-944-4300 (phone) or 401-464-4071 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376292193 directly on the NPPES registry website.

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