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NPI Code Detail

MEDICARE: ,BIRUTE L PUMPUTIS MD

MEDICARE: ,BIRUTE L PUMPUTIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01032732AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326048455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ,BIRUTE L PUMPUTIS MD
Provider Business Mailing Address
First Line : 3926 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1712
Country : US
Telephone Number : 260-266-1401
Fax Number : 260-458-5734
Provider Business Practice Location Address
First Line : 3909 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1725
Country : US
Telephone Number : 260-469-6610
Fax Number : 260-969-3065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/23/2017

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Directions to “ ,BIRUTE L PUMPUTIS MD” Practice Location

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