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Jaise Thekkan Poulose, MD
Critical Care Medicine (Internal Medicine) Physician in Fargo, North Dakota
NPI 1497872675

Jaise Thekkan Poulose is a Critical Care Medicine (Internal Medicine) Physician based in Hopkinsville, ND and is specialized in Critical Care Medicine. Jaise Thekkan Poulose practices in Fargo, ND and has the professional credentials of MD. The NPI Number for Jaise Thekkan Poulose is 1497872675 and holds a License No. 11150 (North Dakota).

The current practice location address for Jaise Thekkan Poulose is 3000 32Nd Ave S, Fargo, ND and can be reached out via phone at 701-364-8000 and via fax at 701-364-8078. You can also correspond with Jaise Thekkan Poulose through the mailing address at PO BOX 2400, HOPKINSVILLE, KY - 42241-2400 (mailing address contact number: 270-887-0100).

Location: 3000 32Nd Ave S, Fargo, ND, 42241-2400
person
Provider Profile Details
NPI Number
1497872675
Provider Name
Jaise Thekkan Poulose
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3000 32Nd Ave S, Fargo, ND, 42241-2400
Phone Number
701-364-8000
Fax Number
701-364-8078
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100672860 05 KY
ENROLLED 05 IA
ENROLLED 05 MN
N714361 05 ND
35190900 05 WI
913427000 05 MN
10502 05 ND
institution
Provider Business Practice Location Address Details
Address
3000 32Nd Ave S
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
701-364-8078
person
Provider Business Mailing Address Details
Address
3000 32Nd Ave S
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
701-364-8078
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
MD.207663 (Louisiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
License No.
50104 (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
License No.
11150 (North Dakota)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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