Search › Oklahoma › 163W00000X
Dimitri Koulakov
NPI 1427582774 · on the registry since 2017
Practice
- Address
- 1055 S Houston Ave
Tulsa, OK 74127 - Phone
- (918) 921-3299
- Organisation at this address
- Family & Children'S Services, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 183
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma