Organization
ANNAMMA PULLUKAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A HODGE (OFFICE MANAGER)
(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
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301043370
MI
Other
Enumeration date
06/25/2018
Last updated
05/20/2021
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