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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1891130209


NPI Information

NPI: 1891130209
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: ANNE ARUNDEL MEDICAL GROUP CARDIOLOGY SPECIALISTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
888 BESTGATE RD
SUITE 208
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 897-0822
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LUMINIS HEALTH MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Annapolis, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1891130209. 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 Cardiology Specialists.

The provider's business location address is:

888 BESTGATE RD
SUITE 208
ANNAPOLIS, MD
ZIP 21401-091
Phone: (410) 897-0822
Fax: (410) 897-0095

The provider's authorized official is Peter Odenwald .
The authorized official title is Vice President and has the following contact phone number (443) 481-6415.

The enumeration date for this NPI number is 4/30/2013 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
1207RC0000XInternal MedicineCardiovascular DiseaseD56089MARYLANDYes

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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