Individual
SIMI PULLUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 E LONG LAKE RD, BLOOMFIELD HILLS, MI 48304-9996
(248) 533-0000
Mailing address
71 E LONG LAKE RD, BLOOMFIELD HILLS, MI 48304-9996
(248) 533-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301500871
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2014
Last updated
04/17/2020
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