Individual
DR. PANKAJ HUKKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 COOLIDGE HWY STE 110, TROY, MI 48084-7067
(248) 280-1867
(248) 280-0222
Mailing address
PO BOX 2502, BIRMINGHAM, MI 48012-2502
(248) 280-1867
(248) 280-0222
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301047842
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301047842
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301047842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2571199-10
—
MI
Enumeration date
10/17/2005
Last updated
09/17/2024
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