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Individual

LUQMAN K DAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
319664
NY
2085R0001X
Radiation Oncology Physician
D0072304
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1069-0035
BLUE CHOICE GROUP HOSPITALIZATION & MEDICAL SERVICES
MD
01
221568ZDYC
MEDICARE - BCF PA - PTAN
MD
01
319664
NY MEDICAL LICENSE
NY
05
3221121 00
MD
01
600576-03
CAREFIRST OF MARYLAND - RENDERING NUMBER
MD
01
8317071
AETNA PPO
MD
01
K606AN
CAREFIRST PROVIDER NUMBER
MD
Enumeration date
04/24/2007
Last updated
12/30/2022
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