Provider Demographics
NPI:1295317378
Name:PLUTO HEALTH, INC
Entity type:Organization
Organization Name:PLUTO HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:SOKHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-885-1443
Mailing Address - Street 1:807 E MAIN ST STE 6100
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-4097
Mailing Address - Country:US
Mailing Address - Phone:424-396-5507
Mailing Address - Fax:
Practice Address - Street 1:807 E MAIN ST STE 6100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-4097
Practice Address - Country:US
Practice Address - Phone:424-396-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1295317378Medicaid
TN1295317378Medicaid