Individual
DR. STEPHEN D ULAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3473
(304) 831-1101
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1746
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001723064
BLUE CROSS
WV
01
—
1058523
WORKER'S COMP
WV
05
—
5600270000
—
WV
01
—
60701
UNICARE HMO
WV
01
—
P00308703
MEDICARE RAILROAD
WV
Enumeration date
06/14/2006
Last updated
04/21/2022
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