IndividualActive
Jaise Poulose, M.D.
NPI 1497872675 · Critical Care Medicine (Internal Medicine) Physician · Edgewood, KY
Provider details
- NPI number
- 1497872675
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11150 (ND)
Practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 757-2927
Fax: (859) 341-0203
Mailing address
Po Box 635283
Cincinnati, OH 45263-5283
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.