Provider Demographics
NPI:1013993005
Name:VUKAS, DANIEL D (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:D
Last Name:VUKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8558 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7032
Mailing Address - Country:US
Mailing Address - Phone:219-392-7084
Mailing Address - Fax:219-703-6854
Practice Address - Street 1:10240 CALUMET AVE
Practice Address - Street 2:2ND FL
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2880
Practice Address - Country:US
Practice Address - Phone:219-836-8100
Practice Address - Fax:219-836-9656
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-110634207Y00000X
IN01091816A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-110634Medicaid
IN300082647Medicaid
IL036-110634Medicaid