Provider Demographics
NPI:1861583627
Name:KARLAK, JULIA A (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:KARLAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1725 E 19TH ST
Mailing Address - Street 2:STE 602
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5437
Mailing Address - Country:US
Mailing Address - Phone:918-748-7677
Mailing Address - Fax:918-748-7606
Practice Address - Street 1:1725 E 19TH ST
Practice Address - Street 2:STE 602
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5437
Practice Address - Country:US
Practice Address - Phone:918-748-7677
Practice Address - Fax:918-748-7606
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK14394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK484622519001OtherBCBS
OK484622519001OtherBCBS