Individual
ISAAC POURATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 MERRIMAC ST, NEWBURYPORT, MA 01950-2192
(978) 499-7400
(978) 499-7335
Mailing address
260 MERRIMAC ST, NEWBURYPORT, MA 01950-2192
(978) 499-7400
(978) 499-7335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
212177
MA
207RC0000X
Cardiovascular Disease Physician
212177
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
212177
MA
207UN0901X
Nuclear Cardiology Physician
212177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083661318
AETNA HMO
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
Enumeration date
05/30/2006
Last updated
11/16/2012
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