MEDICARE: DR. JOHN K ALUKAL M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G9053	IL

General Provider Information

NPI Number	:	1306886403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN K ALUKAL M.D

Provider Business Mailing Address
First Line	:	1620 MCCULLOUGH AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4434
Country	:	US
Telephone Number	:	210-226-4091
Fax Number	:	210-229-1116

Provider Business Practice Location Address
First Line	:	1620 MCCULLOUGH AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4434
Country	:	US
Telephone Number	:	210-226-4091
Fax Number	:	210-229-1116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/06/2010

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