Poulos, Elijah Michael

Poulos, Elijah Michael is an individual health care provider with primary practice located at 1360 N Rim Dr , Flagstaff AZ 86001-3111. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Poulos, Elijah Michael can be contacted via phone (928) 774-8000.

Contact Information

Primary practice address
1360 N Rim Dr Flagstaff AZ 86001-3111
Phone: (928) 774-8000
Fax: (928) 774-0372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R71506 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 46193 Arizona
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 46193 Arizona

Profile Details

NPI number 1386871325
LBN Legal business name Poulos, Elijah Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Jun 18th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386871325 NPPES
Arizona MEDICAID 026439

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