Provider Demographics
NPI:1154340537
Name:SALUKE, JULIA K (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:K
Last Name:SALUKE
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 1:214 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-3106
Mailing Address - Country:US
Mailing Address - Phone:704-730-1228
Mailing Address - Fax:704-730-1231
Practice Address - Street 1:214 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-3106
Practice Address - Country:US
Practice Address - Phone:704-730-1228
Practice Address - Fax:704-730-1231
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC74337OtherBCBS
SCN00710Medicaid
NC8974337Medicaid
NC74337OtherBCBS
G21414Medicare UPIN
SCN00710Medicaid
NC2220424EMedicare PIN