# DR. ALEJANDRO PULIDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538173414
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 01065961A | IN | — |
| 207Q00000X | Family Medicine Physician | 036108144 | IL | Yes |
| 207QA0505X | Adult Medicine Physician | 036108144 | IL | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 10/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000615203 | ANTHEM BCBS | IN |
| 05 | — | 036108144 | — | IL |
| 05 | — | 200922910 | — | IN |
| 01 | — | 336072282 | CONTROL SUBSTANCE | IL |