Provider Demographics
NPI:1306886403
Name:ALUKAL, JOHN K (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:ALUKAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:K
Other - Last Name:ALUKAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1620 MCCULLOUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4434
Mailing Address - Country:US
Mailing Address - Phone:210-226-4091
Mailing Address - Fax:210-229-1116
Practice Address - Street 1:1620 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4434
Practice Address - Country:US
Practice Address - Phone:210-226-4091
Practice Address - Fax:210-229-1116
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILG9053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF46SMedicare ID - Type Unspecified