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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1558865287


NPI Information

NPI: 1558865287
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: LUMINIS HEALTH GYNECOLOGIC ONCOLOGY

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
2000 MEDICAL PKWY STE 200
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-3493
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LUMINIS HEALTH MEDICAL GROUP, LLC is a gynecologic oncology obstetrics gynecology in Annapolis, MD. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1558865287. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Luminis Health Gynecologic Oncology.

The provider's business location address is:

2000 MEDICAL PKWY STE 200
ANNAPOLIS, MD
ZIP 21401-744
Phone: (443) 481-3493

The provider's authorized official is Peter Odenwald .
The authorized official title is Chief Operating Officer and has the following contact phone number (410) 573-6480.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 2/6/2024.


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
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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: 4/28/2024

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