Simon J Pullukat in Pontiac - Family Medicine
Simon J Pullukat - NPI 1881702322
Simon J Pullukat is a Family Medicine in Pontiac, Michigan. Simon J Pullukat practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Simon J Pullukat is 1881702322. The last update date is 2016-02-03.
Simon J Pullukat's current location address is 35 South Johnson Suite 2-d, Pontiac, Michigan. You can contact this provider via phone number 2683380860 and fax number 2683386013. The mailing address for Simon J Pullukat is 35 South Johnson Suite 2-d, Pontiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simon J Pullukat |
|---|---|
| Address | 35 South Johnson Suite 2-d, Pontiac, Michigan |
| Phone Number | 2683380860 |
| Fax Number | 2683386013 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881702322 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2016-02-03 |
Provider Mailing Address Detail
| Address | 35 South Johnson Suite 2-d |
|---|---|
| City | Pontiac |
| State | Michigan (MI) |
| Post Code | 48341 |
| Phone Number | 2683380860 |
| Fax Number | 2683386013 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301035015 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210999610 | MI | -- |
Post Comment/ Review Below
What is the Simon J Pullukat's unique identification number?
The Simon J Pullukat has been assigned the NPI (National Provider Identifier) Number 1881702322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Simon J Pullukat's facilities are geographically located?
The facilities of Simon J Pullukat are physically situated at the following location: 35 South Johnson Suite 2-D, Pontiac, MI, 48341.
What is Simon J Pullukat's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Simon J Pullukat is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881702322 to Simon J Pullukat?
The Centers for Medicare & Medicaid Services originally issued the 1881702322 to Simon J Pullukat on 2006-08-25.
When was the information regarding Simon J Pullukat most recently updated?
The details pertaining to the Simon J Pullukat, including its address, specialty, and other relevant information, were last refreshed on 2016-02-03.
NPI Number: 1982607784
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