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LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC NPI 1851835136


NPI Information

NPI: 1851835136
Provider Name: LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II, LLC

Doing Business As: DR. GAURAV KUMAR

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12221 TULLAMORE RD
LUTHERVILLE, MD
ZIP 21093
Phone: (410) 252-6790
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LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II, LLC is a pediatrics in Lutherville, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II, LLC NPI is 1851835136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dr. Gaurav Kumar.

The provider's business location address is:

12221 TULLAMORE RD
LUTHERVILLE, MD
ZIP 21093-816
Phone: (410) 252-6790

The provider's authorized official is Mary R Wright-sisk .
The authorized official title is Director and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 8/31/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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