Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Daniel Kullukian, MD, SA-C

Individual provider Surgical Assistant · NPI 1609119304

Dr. Daniel Kullukian, MD, SA-C is a Surgical Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4626 E Sheena Dr
Phoenix, AZ 85032
Phone: (602) 295-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 17193 (AZ)

Record details

NPI number1609119304
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , SA-C
Sole proprietorYes
NPI enumeratedApril 1, 2013
Last updated in NPPESMarch 29, 2017
Mailing address4626 E Sheena Dr, Phoenix, AZ 85032-5524

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