Healthcare Provider Details

I. General information

NPI: 1295038990
Provider Name (Legal Business Name): JAMES LOUIS SCHAMADAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2010
Last Update Date: 12/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24350 N WHISPERING RIDGE WAY UNIT 49
SCOTTSDALE AZ
85255-5728
US

IV. Provider business mailing address

24350 N WHISPERING RIDGE WAY UNIT 49
SCOTTSDALE AZ
85255-5728
US

V. Phone/Fax

Practice location:
  • Phone: 602-568-4000
  • Fax: 707-988-1588
Mailing address:
  • Phone: 602-568-4000
  • Fax: 707-988-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number4737
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: