Search › Michigan › 207RN0300X
Amitha Kakulavaram, M.D
NPI 1720267800 · on the registry since 2007
Practice
- Address
- 44200 Woodward Ave Ste 209
Pontiac, MI 48341 - Phone
- (248) 253-0330
- Fax
- (248) 253-1982
- Organisation at this address
- Detroit Vamc
Pampered Child
Annamma Pullukat
Annamma Pullukat
Grace Pediatrics PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 44555 Woodward Ave, Pontiac, MI
Registry record
- Primary taxonomy
- 207RN0300X
207RN0300X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-06
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