Individual
DR. LUMINITA TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS ST # 630, CHARLESTON, SC 29425-8200
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD434273
PA
207RP1001X
Pulmonary Disease Physician
MD434273
PA
207RP1001X
Pulmonary Disease Physician
MD94072
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD434273
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD94072
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102194256
—
PA
01
—
1571827
GATEWAY-WMG
PA
01
—
20087304
AMERIHEALTH MERCY-WMG
PA
01
—
2057638
HIGHMARK BLUE SHIELD
PA
01
—
271493
UNISON-WMG
PA
01
—
937005
CAREFIRST MD BCBS
MD
Enumeration date
02/13/2006
Last updated
04/22/2025
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