Organization
ANNAMMA PULLUKAT
Active
Parent organization
ANNAMMA PULLUKAT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNAMMA PULLUKAT
Authorized official
ROY JOSEPH PULLUKAT MD (PHYSICIAN)
(248) 253-9600
Entity
Organization
Contact information
Practice address
44200 WOODWARD AVE STE 103, PONTIAC, MI 48341-5046
(248) 253-9600
(248) 253-0980
Mailing address
44200 WOODWARD AVE STE 103, PONTIAC, MI 48341-5046
(248) 253-9600
(248) 253-0980
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932694767
—
MI
Enumeration date
03/03/2021
Last updated
03/03/2021
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