Healthcare Provider Details

I. General information

NPI: 1740213214
Provider Name (Legal Business Name): GEORGE LUH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 COYLE AVE
CARMICHAEL CA
95608-0306
US

IV. Provider business mailing address

3000 Q ST
SACRAMENTO CA
95816-7058
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-5701
  • Fax:
Mailing address:
  • Phone: 916-733-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG78325
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: