Healthcare Provider Details

I. General information

NPI: 1164876504
Provider Name (Legal Business Name): OLUWATONI ENIOLA ALUKO MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 H ST NW # MC2
WASHINGTON DC
20433-0001
US

IV. Provider business mailing address

1818 H ST NW # MC2
WASHINGTON DC
20433-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-842-1500
  • Fax:
Mailing address:
  • Phone: 202-842-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD95077
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD210002646
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD210002646
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: