Provider Demographics
NPI:1033296629
Name:JULKA, DILPREET PAMI (MD)
Entity type:Individual
Prefix:DR
First Name:DILPREET
Middle Name:PAMI
Last Name:JULKA
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:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-579-3203
Mailing Address - Fax:
Practice Address - Street 1:15111 WHITTIER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2180
Practice Address - Country:US
Practice Address - Phone:562-945-6440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55266207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A552660Medicaid
CA00A552661OtherBLUE SHIELD #
CAA55266OtherMEDICAL LICENSE #
CABJ4898461OtherDEA#
CA00A552661OtherBLUE SHIELD #
CAA55266Medicare ID - Type UnspecifiedMEDICARE #