Provider Demographics
NPI:1003118076
Name:HUNKELE, GENEVIEVE Q (DO)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:Q
Last Name:HUNKELE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE STE M54
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-621-1818
Mailing Address - Fax:412-621-4337
Practice Address - Street 1:4815 LIBERTY AVE STE M54
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-621-1818
Practice Address - Fax:412-621-4337
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017080207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102951762Medicaid
361359Medicare PIN