Annamma Pullukat
Pediatric Adolescent Medicine
Annamma Pullukat is a Pontiac, Michigan based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
44200 Woodward Ave Ste 103, Pontiac, Michigan - 48341-5046. They can be contacted on phone at
248-253-9600 and fax number 248-253-0980.
NPI number (Unique professional ID) for Annamma Pullukat is
1932694767 which was assigned by NPPES on 25 Jun, 2018 and it was last updated on 20 May, 2021.
Annamma Pullukat license number is
4301043370 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Annamma Pullukat specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Annamma Pullukat basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Annamma Pullukat |
|---|
Business Address:
Annamma Pullukat address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 44200 Woodward Ave Ste 103
Pontiac, MI, 48341-5046
United States |
|---|
| Phone Number : | 248-253-9600 |
|---|
| Fax Number : | 248-253-0980 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932694767 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 25 Jun, 2018 |
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| Last Updated On : | 20 May, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kimberlya Hodge |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 248-253-9600 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Annamma Pullukat are as mentioned. Primary taxonomy code for Annamma Pullukat is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301043370 | MI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 44200 Woodward Ave Ste 103
Pontiac, MI, 48341-5046
United States |
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| Phone Number : | 248-253-9600 |
|---|
| Fax Number : | 248-253-0980 |
|---|
Business Location:
Patients can refer following map for directions to
Annamma Pullukat practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.