Provider Demographics
NPI:1306033014
Name:LUKE, MRUNALI (MD)
Entity Type:Individual
Prefix:
First Name:MRUNALI
Middle Name:
Last Name:LUKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WOODY DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5692
Mailing Address - Country:US
Mailing Address - Phone:338-604-7215
Mailing Address - Fax:
Practice Address - Street 1:116 WOODY DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5692
Practice Address - Country:US
Practice Address - Phone:833-604-7215
Practice Address - Fax:724-287-4128
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193275207Q00000X
MI4301091142207V00000X
PAMD445031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology