Provider Demographics
NPI:1285676189
Name:LUKE, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:LUKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 CROSSROADS DR STE 306
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5437
Mailing Address - Country:US
Mailing Address - Phone:443-738-2889
Mailing Address - Fax:434-471-8540
Practice Address - Street 1:19841 N 27TH AVE STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4003
Practice Address - Country:US
Practice Address - Phone:623-582-6420
Practice Address - Fax:623-582-6720
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0058099208800000X
FLME 77687208800000X
AZ62651208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46791OtherBCBS OF FL
FL7003004OtherAETNA
FL1193381OtherWELLCARE
FL256330400Medicaid
CO9000162907Medicaid
AZ094385Medicaid
FL5095184OtherCIGNA
FL10G248OtherHEALTHY KIDS
FL280590OtherAVMED
FLP303940OtherFREEDOM HEALTH
FL46791ZMedicare PIN
FL46791YMedicare PIN