Provider Demographics
NPI:1801094180
Name:LUKA, GETNET ERAKLI (MD)
Entity type:Individual
Prefix:DR
First Name:GETNET
Middle Name:ERAKLI
Last Name:LUKA
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 1:15243 BRIARCLIFF MANOR WAY
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1662
Mailing Address - Country:US
Mailing Address - Phone:410-336-8374
Mailing Address - Fax:
Practice Address - Street 1:954 FORREST ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4236
Practice Address - Country:US
Practice Address - Phone:410-385-9672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine