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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1467767806


NPI Information

NPI: 1467767806
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: ANNE ARUNDEL MEDICAL GROUP-NEUROLOGY SPECIALISTS

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2002 MEDICAL PKWY
SUITE 430
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-1940
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LUMINIS HEALTH MEDICAL GROUP, LLC is a neurology psychiatry neurology in Annapolis, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1467767806. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anne Arundel Medical Group-neurology Specialists.

The provider's business location address is:

2002 MEDICAL PKWY
SUITE 430
ANNAPOLIS, MD
ZIP 21401-263
Phone: (443) 481-1940
Fax: (443) 481-1941

The provider's authorized official is Stephen Clarke .
The authorized official title is Vice President Business Development and has the following contact phone number (443) 481-6464.

The enumeration date for this NPI number is 8/10/2010 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
12084N0400XPsychiatry & NeurologyNeurologyYes

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
1407175122MEDICAIDMARYLAND
2X581OTHERDISTRICT OF COLUMBIABCBS
3CF6JASOTHERMARYLANDBCBS

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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