Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Intensivists
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
2001 MEDICAL PKWY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
(443) 481-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEPT OF LABOR, WORKMAN'S COMP
—
05
—
407175115
—
MD
01
—
CS95AA
CAREFIRST MARYLAND
—
01
—
V814
CAREFIRST
—
Enumeration date
05/18/2010
Last updated
10/29/2024
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