Individual
DR. KORAH MATHAI PULIMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 MARKET ST # D, DENTON, MD 21629-2141
(410) 479-2450
Mailing address
912 MARKET ST # D, DENTON, MD 21629-2141
(410) 479-2450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053815
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765801000
—
MD
Enumeration date
02/26/2007
Last updated
02/19/2008
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