Healthcare Provider Details

I. General information

NPI: 1932789229
Provider Name (Legal Business Name): LUKE ALAN PRYKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 LIGHT HALL 2215 GARLAND AVE NASHVILLE TN 37232
NASHVILLE TN
37232-5112
US

IV. Provider business mailing address

545 BARNHILL DR
INDIANAPOLIS IN
46202-5112
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-4916
  • Fax:
Mailing address:
  • Phone: 317-274-8438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberD0106273
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0106273
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number11021560A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: