Provider Demographics
NPI:1952658171
Name:LUKESH, ROBERT CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:LUKESH
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 1:135 VALLEY VIEW ROAD
Mailing Address - Street 2:SWALL MEADOWS
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-7130
Mailing Address - Country:US
Mailing Address - Phone:760-387-2202
Mailing Address - Fax:
Practice Address - Street 1:135 VALLEY VIEW ROAD
Practice Address - Street 2:SWALL MEADOWS
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-7130
Practice Address - Country:US
Practice Address - Phone:760-387-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG-18551207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology