DR. NICHOLOS POOTHULLIL JOSEPH MD - NPI 1063107043 - Student in an Organized Health Care Education/Training Program in Denver, CO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Nicholos Poothullil Joseph Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLOS POOTHULLIL JOSEPH MD (NPI 1063107043) is an individual student in an organized health care education/training program in Denver, Colorado and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063107043

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NICHOLOS POOTHULLIL JOSEPHCredential: MD

Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4597

Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4597 · (303) 602-5193

Phone(303) 602-5193

Sole ProprietorNo

Enumeration DateApril 6, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1063107043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

777 BANNOCK ST # MC0108, Denver, CO 80204

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