| Luminescence Medical Pllc | |
|
1202 Troy Schenectady Road Building #2 Latham NY 12110 | |
| (518) 389-6100 | |
| Not Available |
| Full Name | Luminescence Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1202 Troy Schenectady Road, Latham, New York |
| Authorized Official Name and Position | Prajesh Ghimire (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 5183302843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminescence Medical Pllc 1202 Troy Schenectady Raod Building #2 Latham NY 12110 Ph: (518) 389-6100 | Luminescence Medical Pllc 1202 Troy Schenectady Road Building #2 Latham NY 12110 Ph: (518) 389-6100 |
| NPI Number | 1760265540 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 0345786109 |
|---|---|
| Medicare Enrollment ID | O20240729002679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760265540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sean R Conner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538328331 PECOS PAC ID: 8123211281 Enrollment ID: I20101021000214 |
| Provider Name | Prajesh M Ghimire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821300401 PECOS PAC ID: 5193987949 Enrollment ID: I20120503000072 |
| Provider Name | Nabodita D Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720419831 PECOS PAC ID: 4789951146 Enrollment ID: I20170606002948 |
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Patricia V. Saunders Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 Watervliet Shaker Rd, Latham, NY 12110 Phone: 518-785-3154 | |
Albany Medical College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Troy Schenectady Rd Ste 126, Latham, NY 12110 Phone: 518-264-5053 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 582 New Loudon Rd, Latham, NY 12110 Phone: 518-783-0072 Fax: 518-783-8138 | |
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