IndividualActive
Alva Poulos, MD
NPI 1376292193 · Family Medicine Physician · Cranston, RI
Provider details
- NPI number
- 1376292193
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MMD.87769 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 Pontiac Ave Ste 101
Cranston, RI 02920-4486
Phone: (401) 944-4300
Fax: (401) 464-4071
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Registry dates
- Enumerated
- 2022-03-20
- Last updated
- 2025-05-09
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.