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ANNAMMA PULLUKAT
NPI 1932694767
Pediatrics - Adolescent Medicine in Pontiac, MI

Active since June 25, 2018
44200 WOODWARD AVE STE 103, PONTIAC, MI 48341(248) 253-9600(248) 253-0980 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Annamma Pullukat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNAMMA PULLUKAT (NPI 1932694767) is a healthcare organization registered as an adolescent medicine in Pontiac, Michigan and active in the NPI registry since June 2018. The organization lists Kimberly A Hodge, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932694767
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameANNAMMA PULLUKAT
Location Address44200 WOODWARD AVE STE 103Pontiac, MI 48341-5046
Mailing Address44200 Woodward Ave Ste 103Pontiac, MI 48341-5046 · (248) 253-9600 · Fax (248) 253-0980
Phone(248) 253-9600
Fax(248) 253-0980
Organization SubpartNo
Authorized OfficialKimberly A HodgeOffice Manager · (248) 253-9600
Enumeration DateJune 25, 2018
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1932694767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MI · 4301043370
Definition
A pediatrician who 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.
44200 WOODWARD AVE STE 103, Pontiac, MI 48341
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE PEDIATRICS PC
Clinic/Center (Primary Care)
44200 WOODWARD AVE STE 103
PONTIAC, MI 48341
Oakland County (248) 253-9600
ANNAMMA PULLUKAT
Pediatrics
44200 WOODWARD AVE STE 103
PONTIAC, MI 48341
Oakland County (248) 253-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annamma Pullukat's NPI number?

The NPI number for Annamma Pullukat is 1932694767. It was assigned to this organization in the NPPES registry on June 25, 2018.

Where is Annamma Pullukat located?

Annamma Pullukat is located at 44200 Woodward Ave Ste 103, Pontiac, MI 48341. The listed phone number is (248) 253-9600.

What is Annamma Pullukat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Annamma Pullukat was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.