Healthcare Provider Details

I. General information

NPI: 1750266797
Provider Name (Legal Business Name): QAMAR SCEGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11231 VIA APPIA
ANCHORAGE AK
99515-2902
US

IV. Provider business mailing address

11231 VIA APPIA
ANCHORAGE AK
99515-2902
US

V. Phone/Fax

Practice location:
  • Phone: 907-727-8045
  • Fax:
Mailing address:
  • Phone: 907-727-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number5455
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: