Individual
DR. BRAVEIN AMALAKUHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198120
PA
207R00000X
Internal Medicine Physician
R1338
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R1338
TX
207RP1001X
Pulmonary Disease Physician
Primary
R1338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368256901
—
TX
Enumeration date
07/12/2010
Last updated
05/31/2021
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