Provider Demographics
NPI:1467911644
Name:LUO, MINMIN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MINMIN
Middle Name:
Last Name:LUO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1101
Mailing Address - Country:US
Mailing Address - Phone:718-407-7300
Mailing Address - Fax:347-735-5623
Practice Address - Street 1:4514 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1101
Practice Address - Country:US
Practice Address - Phone:718-407-7304
Practice Address - Fax:347-442-5830
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325184207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology