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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417529603

Jerrin Joy Pullukkara, MD is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone: (813) 974-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417529603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESAugust 1, 2021
Certification dateAugust 1, 2021

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