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

Individual provider Pharmacist · NPI 1255684643

Balamathew R Pudota is a Pharmacist in Flint, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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Practice location Address checks out

502 S Ballenger Hwy
Flint, MI 48532-3640
Phone: (810) 424-9270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302039319 (MI)

Record details

NPI number1255684643
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2012
Last updated in NPPESOctober 23, 2012

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