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

Roy J Pullukat, MD

Individual provider Pediatrics Physician · NPI 1346537289

Roy J Pullukat, MD is a Pediatrics Physician in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
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

44200 Woodward Ave Ste 103
Pontiac, MI 48341-5045
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

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301099218 (MI)

Record details

NPI number1346537289
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESJune 30, 2014
Mailing address44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045

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