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General NPI Number Information
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NPI Number | 1902976376
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Entity Type | Organization
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Legal Business Name | PULAKANTI MD CORPORATION
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 7349 MILLIKEN AVE SUITE 104.306
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7435
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Country | US
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Telephone | 877-243-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 7349 MILLIKEN AVE SUITE 104.306
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7435
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Country | US
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Telephone | 877-243-7790
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | VENKATA S.R. PULAKANTI
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Credential | M.D
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Telephone | 909-496-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A51071
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License Number State | CA
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