# ISAAC POURATI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083661318
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 212177 | MA | — |
| 207RC0000X | Cardiovascular Disease Physician | 212177 | MA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 212177 | MA | Yes |
| 207UN0901X | Nuclear Cardiology Physician | 212177 | MA | — |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 11/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083661318 | UNITED HEALTHCARE | MA |
| 05 | — | 110075439A | — | MA |
| 01 | — | 25-14031 | EVERCARE | MA |
| 01 | — | 30206639 | NH MEDICAID | NH |
| 01 | — | 495762 | TUFTS | — |
| 01 | — | 7294935 | CIGNA | MA |
| 01 | — | 7500893 | AETNA NON HMO | MA |
| 01 | — | AA83892 | HPHC | MD |
| 01 | — | H70269 | ANTHEM BS | MA |
| 01 | — | J41262 | BLUE CROSS | MA |