Organization
LUMINESCENCE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAJESH GHIMIRE MD (PARTNER/PHYSICIAN)
(518) 330-2843
Entity
Organization
Contact information
Practice address
1202 TROY SCHENECTADY ROAD, BUILDING #2, LATHAM, NY 12110
(518) 389-6100
Mailing address
1202 TROY SCHENECTADY RAOD, BUILDING #2, LATHAM, NY 12110
(518) 389-6100
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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