MEDICARE: MUKESH P. LUHAR M.D.

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	207RG0100X	Gastroenterology Physician	D0024303	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00968922	OTHER	GA	RAILROAD MEDICARE
4	183997	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	314051200	OTHER	MD	MEDICAL ASSISTANCE
3	CJ91MP 33115001	OTHER	MD	CAREFIRST
5	X317-0001	OTHER	DC	CAREFIRST

General Provider Information

NPI Number	:	1518969666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUKESH P. LUHAR M.D.

Provider Business Mailing Address
First Line	:	10108 PASTURE GATE LN
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-1738
Country	:	US
Telephone Number	:	410-282-2992
Fax Number	:	410-282-2966

Provider Business Practice Location Address
First Line	:	1576 MERRITT BLVD
Second Line	:	SUITE 9
City	:	BALTIMORE
State	:	MD
Zip	:	21222-2132
Country	:	US
Telephone Number	:	410-282-2992
Fax Number	:	410-282-2966

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/26/2012

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Directions to “ MUKESH P. LUHAR M.D.” Practice Location

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