Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annamma Pullukat

Organization Pediatric Adolescent Medicine Physician · NPI 1932694767

Annamma Pullukat is a Pediatric Adolescent Medicine Physician in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

44200 Woodward Ave Ste 103
Pontiac, MI 48341-5046
Phone: (248) 253-9600
Fax: (248) 253-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 4301043370 (MI)

Record details

NPI number1932694767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Hodge — Office Manager · (248) 253-9600
NPI enumeratedJune 25, 2018
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address44200 Woodward Ave Ste 103, Pontiac, MI 48341-5046