Reena Pullukat
Reena Pullukat is a Student in an Organized Health Care Education/Training Program in Orange, California. Licensed in Pennsylvania. Registered with an NPI since 2020.
- Licensed in
- PA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1201 W La Veta AveOrange, CA 92868-4203
Phone: (714) 942-0892
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence MT220996 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790306850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2020 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
| Mailing address | 1201 W La Veta Ave, Orange, CA 92868-4203 |
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