No.. Honestly speaking, At state merit rank 4576, it's certainly impossible to get any government medical colleges of Maharashtra (Mumbai, Marathwada or even Vidarbha region). These year the cutoffs have went high in Maharashtra and GMCs are expected to close around 3000 SMRs. Frankly speaking getting a private medical college this year might also be difficult for you because MBBS cutoff this year is going to be around 490 marks and above this year in Maharashtra. Private colleges like Somaiya, Terna of Mumbai are all going to be 510 and above this year.

But you still may try in private colleges of Nashik, Gondia,etc. Or you can go for deemed universities if you can afford those fees. 

Or you may surely get a seat in private dental colleges of Maharashtra. 

Best wishes. Thank you.