Provider Demographics
NPI:1760457055
Name:KARAKLA, DANIEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:KARAKLA
Suffix:
Gender:M
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-388-6200
Mailing Address - Fax:757-388-6201
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:SUITE 1100
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-6200
Practice Address - Fax:757-388-6201
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222124207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA20449OtherSENTARA OPTIMA
NC790596LMedicaid
VAPAROtherMULTIPLAN
VAPAROtherVA PREMIER HEALTH
VAPAROtherVA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VA117682OtherANTHEM
VAPAROtherCORVEL/CORCARE
VA006502261Medicaid
VAPAROtherCIGNA
NC0596LOtherBC/BS
VAPAROtherAETNA
VA271454OtherUHC/MAMSI
VAPAROtherFIRST HEALTH COMMERCIAL
VA117682OtherANTHEM
VA271454OtherUHC/MAMSI
VAPAROtherCIGNA