Luminis Health Medical Group, Llc

LBN: Luminis Health Medical Group, Llc
Luminis Health Medical Group, Llc is an health care organization with primary practice located at 4175 N Hanson Ct Ste 203 , Bowie MD 20716-3183. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Luminis Health Medical Group, Llc can be contacted via phone (443) 481-1199, or through Odenwald, Peter via phone (443) 481-6415.

Contact Information

Primary practice address
4175 N Hanson Ct Ste 203 Bowie MD 20716-3183
Phone: (443) 481-1199
Fax: (443) 481-1495
Website:
Map and Directions
Authorized official contact:
Name: Odenwald, Peter
Phone: (443) 481-6415

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X

Profile Details

NPI number 1720304223
LBN Legal business name Luminis Health Medical Group, Llc
DBA Doing business as
Authorized official Odenwald, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2010
Last updated Dec 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720304223 NPPES
Maryland MEDICAID 407175124
Maryland Other X364
Maryland MEDICAID 407175129
Maryland Other CHD0AA

Popular Providers