Provider Demographics
NPI:1689797292
Name:ZALESKI, ULKA PRAKASH (MD)
Entity Type:Individual
Prefix:DR
First Name:ULKA
Middle Name:PRAKASH
Last Name:ZALESKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11333 CASTLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-2048
Mailing Address - Country:US
Mailing Address - Phone:410-659-0689
Mailing Address - Fax:410-385-2676
Practice Address - Street 1:343 N CALVERT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3634
Practice Address - Country:US
Practice Address - Phone:410-659-0689
Practice Address - Fax:410-385-2676
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD53159207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG68794Medicare UPIN
MDG603Medicare ID - Type Unspecified