MEDICARE: LUMA ESSAID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	250628	NC
2	208000000X	Pediatrics Physician	2025-02182	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437714003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUMA ESSAID MD

Provider Business Mailing Address
First Line	:	PO BOX 803854
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-3854
Country	:	US
Telephone Number	:	919-350-0351
Fax Number	:	919-350-7687

Provider Business Practice Location Address
First Line	:	1030 SIENA DR
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-2781
Country	:	US
Telephone Number	:	919-235-6511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	04/16/2026

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Directions to “ LUMA ESSAID MD” Practice Location

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