MEDICARE: ARNETTE SCAVELLA 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	208000000X	Pediatrics Physician	MD.200538	LA

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	:	1912198219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNETTE SCAVELLA MD

Provider Business Mailing Address
First Line	:	2221 HOUMA BLVD
Second Line	:	APT 229
City	:	METAIRIE
State	:	LA
Zip	:	70001-1378
Country	:	US
Telephone Number	:	504-256-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 HIGHWAY 1 SOUTH
Second Line	:
City	:	PORT ALLEN
State	:	LA
Zip	:	70767
Country	:	US
Telephone Number	:	225-749-5750
Fax Number	:	225-749-3138

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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