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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1336538883


NPI Information

NPI: 1336538883
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: ANNE ARUNDEL MEDICAL GROUP-DIABETES AND ENDOCRINE SPECIALISTS

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
2000 MEDICAL PKWY
510
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-4600
Get Directions

LUMINIS HEALTH MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Annapolis, MD. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1336538883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Anne Arundel Medical Group-diabetes And Endocrine Specialists.

The provider's business location address is:

2000 MEDICAL PKWY
510
ANNAPOLIS, MD
ZIP 21401-742
Phone: (443) 481-4600
Fax: (443) 481-3998

The provider's authorized official is Steven L Clarke .
The authorized official title is Vice President and has the following contact phone number (443) 481-6558.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 5/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1521024100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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