Provider Demographics
NPI:1073580924
Name:TOK, ULKER (MD)
Entity Type:Individual
Prefix:
First Name:ULKER
Middle Name:
Last Name:TOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 W ORANGE GROVE RD STE 307
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1152
Mailing Address - Country:US
Mailing Address - Phone:520-792-2199
Mailing Address - Fax:520-818-9992
Practice Address - Street 1:1925 W ORANGE GROVE RD STE 307
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1152
Practice Address - Country:US
Practice Address - Phone:520-792-2199
Practice Address - Fax:520-818-9992
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30725207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ744913Medicaid
AZ30725OtherLICENSE
BT7363005OtherDEA CERTIFICATE NUMBER
BT7363005OtherDEA CERTIFICATE NUMBER
AZ744913Medicaid