Individual
DR. ANNAMMA S PULLUKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44200 WOODWARD AVE, 103, PONTIAC, MI 48341-5045
(248) 253-9600
(248) 253-0980
Mailing address
44200 WOODWARD AVE, 103, PONTIAC, MI 48341-5045
(248) 253-9600
(248) 253-0980
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301043370
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212145310
—
MI
Enumeration date
08/25/2006
Last updated
02/16/2017
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