Annamma Pullukat

LBN: Annamma Pullukat
Annamma Pullukat is an health care organization with primary practice located at 44200 Woodward Ave Ste 103 , Pontiac MI 48341-5046. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Annamma Pullukat can be contacted via phone (248) 253-9600, or through Pullukat, Roy Joseph via phone (248) 253-9600.

Contact Information

Primary practice address
44200 Woodward Ave Ste 103 Pontiac MI 48341-5046
Phone: (248) 253-9600
Fax: (248) 253-0980
Website:
Map and Directions
Authorized official contact:
Name: Pullukat, Roy Joseph Doctor of Medicine (MD)
Phone: (248) 253-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1518552413
LBN Legal business name Annamma Pullukat
DBA Doing business as
Authorized official Pullukat, Roy Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2021
Last updated Mar 3rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518552413 NPPES
Michigan MEDICAID 1932694767

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