Provider Demographics
NPI:1760690432
Name:HUDSON, ALKA MITTAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALKA
Middle Name:MITTAL
Last Name:HUDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALKA
Other - Middle Name:
Other - Last Name:MITTAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5100 W 110TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1215
Mailing Address - Country:US
Mailing Address - Phone:913-234-7600
Mailing Address - Fax:913-962-2422
Practice Address - Street 1:5100 W 110TH ST STE 120
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1215
Practice Address - Country:US
Practice Address - Phone:913-234-7600
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010015936207RG0100X
KS04-34360207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology