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Search › Michigan › 207RI0200X

Amar Krishna

NPI 1710234018 · on the registry since 2012

Practice

Address
44200 Woodward Ave Ste 112
Pontiac, MI 48341
Phone
(248) 212-0678
Fax
(248) 212-0790
Organisation at this address
Detroit Vamc
Pampered Child
Annamma Pullukat
Annamma Pullukat
Grace Pediatrics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
207RI0200X
207RI0200X
Also registered as
390200000X
207R00000X
207RI0200X
Licence states on file
PA, MI, ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan