Active NPIIndividual provider

Mrs. Sini Poulose, DO

Family Medicine in Lynnfield, Massachusetts

NPI Number1700885639
Practice location
Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667
Fax
—
Last updated
March 15, 2024

Sini Poulose is a Family Medicine based in Lynnfield, MA. Sini Poulose practices in Lynnfield, MA and has the professional credentials of DO. The NPI Number for Sini Poulose is 1700885639 and holds a License No. 234825 (MA). The current practice location address for Sini Poulose is Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667 and can be reached out via phone at 781-213-4040.

Provider Profile Details

NPI Number
1700885639
Provider Name
Sini Poulose
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667
Phone Number
781-213-4040
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Sini Ninan, DO (Former Name)
Provider Enumeration Date
July 21, 2005
Last Update Date
March 15, 2024
Certification Date
March 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Lahey Health Primary Care, Lynnfield
6 Kimball Lane, Suite 120
Lynnfield, MA 01940-2667
Zip
01940-2667
Phone Number
781-213-4040
Lynnfield, MA 01940Get directions →

Provider Business Mailing Address Details

Address
Lahey Health Primary Care, Lynnfield
6 Kimball Lane, Suite 120
Lynnfield, MA 01940-2667
City
Lynnfield
State
MA
Zip
01940-2667
Phone Number
781-213-4040

License Information

License Number (1)
234825
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
L6130
License State (2)
TX
Taxonomy (2)
Family Medicine · 207Q00000X

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 Mrs. Sini Poulose, DO?

The NPI number of Mrs. Sini Poulose, DO is 1700885639. It was assigned on July 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sini Poulose, DO?

Mrs. Sini Poulose, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 234825.

Where does Mrs. Sini Poulose, DO practice?

The practice location is Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667. The office can be reached at 781-213-4040 (phone).

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 1700885639 directly on the NPPES registry website.

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