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NPI Code Detail

MEDICARE: RICHARD E SCALF M.D.

MEDICARE: RICHARD E SCALF 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
12085R0202XDiagnostic Radiology Physician35.140539OH
22085R0202XDiagnostic Radiology Physician40055KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780663179
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD E SCALF M.D.
Provider Business Mailing Address
First Line : 1218 S. BROADWAY
Second Line : STE 310
City : LEXINGTON
State : KY
Zip : 40504-2759
Country : US
Telephone Number : 859-219-0542
Fax Number : 859-219-9433
Provider Business Practice Location Address
First Line : 1218 S. BROADWAY
Second Line : STE 310
City : LEXINGTON
State : KY
Zip : 40504-2759
Country : US
Telephone Number : 859-219-0542
Fax Number : 859-219-9433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 03/18/2021

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Directions to “ RICHARD E SCALF M.D.” Practice Location

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