MEDICARE: KAREN L SCAVETTA 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	207RC0000X	Cardiovascular Disease Physician	28691	AZ

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	:	1235130980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN L SCAVETTA MD

Provider Business Mailing Address
First Line	:	28150 N ALMA SCHOOL PKWY STE 103
Second Line	:	PMB #311
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-8049
Country	:	US
Telephone Number	:	480-614-0460
Fax Number	:	480-614-0461

Provider Business Practice Location Address
First Line	:	34597 N 60TH ST
Second Line	:	SUITE 100
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85266-5240
Country	:	US
Telephone Number	:	480-614-0460
Fax Number	:	480-614-0461

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	10/25/2011

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Directions to “ KAREN L SCAVETTA MD” Practice Location

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