Individual
DR. LUKE GILDO MIRABELLI
Active
Individual
DR. LUKE GILDO MIRABELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13848425-1205
UT
2084P0800X
Psychiatry Physician
2023025341
MO
2084P0800X
Psychiatry Physician
94-09805
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023025341
MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
01
—
94-09805
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
03/21/2019
Last updated
03/17/2025
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