SIMI PULLUKAT (NPI# 1245650043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245650043 |
| Entity Type | Individual |
| Full Name | SIMI PULLUKAT |
| Other Name | SIMI JOSE |
| Credential | M.D. |
| Practice Address |
71 E Long Lake Rd Bloomfield Hills MI 48304-9996 |
| Practice Telephone | 2485330000 |
| Mailing Telephone | 2485330000 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301500871 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 505 S Main St Ste 525, Orange, CA 928684553 | 7144565631 | 7142850389 |
| Street Address |
71 E LONG LAKE RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-9996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285678730 | Alita Rene Rice | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2006-06-15 |
| 1508358896 | Tara Elizabeth Kristock | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2018-06-01 |
| 1669922977 | Serenity Pediatrics | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598900896 | Niru Prasad | Pediatrics | 264 Pine Ridge Dr, Bloomfield Hills, MI 48304-2137 | 2008-12-16 |
| 1770604928 | Preeti Thabolingam | Pediatrics | 43750 Woodward Ste 104, Bloomfield Hills, MI 48302-5063 | 2007-04-03 |
| 1134292469 | Poonam Goel | Pediatrics | 3072 Woodcreek Way, Bloomfield Hills, MI 48304-1862 | 2006-11-16 |
| 1285678730 | Alita Rene Rice | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2006-06-15 |
| 1841234622 | Fidelina Nitura Baraceros | Pediatrics | 43750 Woodward Ave, Ste 104, Bloomfield Hills, MI 48302-5063 | 2006-06-15 |
| 1215937925 | Stanford Alvin Singer | Pediatrics | 36700 Woodward Ave, Ste 300, Bloomfield Hills, MI 48304-0926 | 2005-07-22 |
| 1437157955 | Sonja M Earles | Pediatrics | 43205 Woodward Ave, Bloomfield Hills, MI 48302-5006 | 2005-07-08 |
| 1508358896 | Tara Elizabeth Kristock | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2018-06-01 |
| 1669922977 | Serenity Pediatrics | Pediatrics | 71 E Long Lake Rd, Bloomfield Hills, MI 48304-9996 | 2016-10-11 |
| 1073826301 | Katherine Jean Valmores Yulo | Pediatrics | 43750 Woodward Ave, Bloomfield Hills, MI 48302-5063 | 2010-07-15 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
Please comment or provide details below to improve the information on SIMI PULLUKAT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.