Gimenez, Luis Fernando

Gimenez, Luis Fernando is an individual health care provider with primary practice located at 5601 Loch Raven Blvd Ste 3, Baltimore MD 21239-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gimenez, Luis Fernando can be contacted via phone (443) 444-3775.

Contact Information

Primary practice address
5601 Loch Raven Blvd Ste 3 Baltimore MD 21239-2905
Fax: (443) 444-4678
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0031960 Maryland

Profile Details

NPI number 1366448052
LBN Legal business name Gimenez, Luis Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366448052 NPPES
Maryland MEDICAID 378371500
Maryland Other 41416401

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