Provider Demographics
NPI:1518969666
Name:LUHAR, MUKESH P (MD)
Entity Type:Individual
Prefix:
First Name:MUKESH
Middle Name:P
Last Name:LUHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10108 PASTURE GATE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1738
Mailing Address - Country:US
Mailing Address - Phone:410-282-2992
Mailing Address - Fax:410-282-2966
Practice Address - Street 1:1576 MERRITT BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-2132
Practice Address - Country:US
Practice Address - Phone:410-282-2992
Practice Address - Fax:410-282-2966
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2012-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0024303207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00968922OtherRAILROAD MEDICARE
MD314051200OtherMEDICAL ASSISTANCE
MDCJ91MP 33115001OtherCAREFIRST
MD183997OtherMEDICARE
DCX317-0001OtherCAREFIRST
MDCJ91MP 33115001OtherCAREFIRST