EDWIN THOMAS PULASKI MD NPI 1255315479

NPI Information

NPI: 1255315479
Provider Name: EDWIN THOMAS PULASKI, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
10215 FERNWOOD RD
STE 50
BETHESDA, MD
ZIP 20817
Phone: (301) 564-1053
Get Directions

Edwin Thomas Pulaski, MD is a diagnostic radiology radiology in Bethesda, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Edwin Thomas Pulaski, MD NPI is 1255315479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10215 FERNWOOD RD
STE 50
BETHESDA, MD
ZIP 20817
Phone: (301) 564-1053

The enumeration date for this NPI number is 12/1/2005 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	9601446	NORTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology	9601446	NORTH CAROLINA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	9601446	NORTH CAROLINA	No
4	2085R0202X	Radiology	Diagnostic Radiology	D0015047	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004964000	MEDICAID	WEST VIRGINIA
2	2249720A	MEDICARE PIN	NORTH CAROLINA
3	28411	OTHER		PARTNERS
4	1115H	OTHER		BCBS
5	300130864	OTHER		RR MEDICARE
6	891115H	MEDICAID	NORTH CAROLINA
7	5612683	OTHER		AETNA
8	D09601	MEDICARE UPIN
9	7200099	MEDICAID	VIRGINIA
10	003367W85	MEDICARE PIN
11	78270	OTHER		MEDCOST
12	Q01446	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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