Healthcare Provider Details

I. General information

NPI: 1114950839
Provider Name (Legal Business Name): KAREN SCANDRETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 CENTRE AVE STE 405
PITTSBURGH PA
15232-1311
US

IV. Provider business mailing address

3471 5TH AVE SUITE 500
PITTSBURGH PA
15213-3215
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2700
  • Fax: 412-623-1235
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number447021
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: