NPIMap

Luminis Health Medical Group, LLC

Organization Active NPI Internal Medicine Physician · Crofton, MD

NPI 1861223604 · NPPES record last updated Aug 13, 2024

Key facts

NPI
1861223604
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
2191 Defense Hwy Ste 201
Crofton, MD 21114-2469
Phone
(443) 481-1000
NPI assigned
Aug 13, 2024
Organization subpart
No

Authorized official

Name
Melissa Rapattoni
Title
Ao
Phone
(443) 481-5136

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Anne Arundel Phys Group LLC (221 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

2191 Defense Hwy Ste 201
Crofton, MD 21114-2469

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5136

Other providers in Crofton, MD

All providers in Crofton, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.