Gimenez, Luis Fernando
Gimenez, Luis Fernando is an individual health care provider with primary practice located at 5601 Loch Raven Blvd Ste 3, Baltimore MD 21239-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gimenez, Luis Fernando can be contacted via phone (443) 444-3775.Contact Information
Primary practice address
5601 Loch Raven Blvd Ste 3
Baltimore MD 21239-2905
Phone: (443) 444-3775
Fax: (443) 444-4678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D0031960 | Maryland |
Profile Details
| NPI number | 1366448052 |
|---|---|
| LBN Legal business name | Gimenez, Luis Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 19th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366448052 | NPPES |
| Maryland | MEDICAID | 378371500 | |
| Maryland | Other | 41416401 |
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