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General NPI Number Information
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NPI Number | 1497945216
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Entity Type | Individual
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Provider Name | ANDREW P SCIALLIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-5054
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Country | US
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Telephone | 216-444-2200
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Fax | 216-444-8238
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Provider Business Mailing Address
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Address Line | GAMMA KNIFE CENTER 9410 CARNEGIE AVENUE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-445-7695
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Fax | 216-444-8238
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 4301103725
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 4301103725
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 51263
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301103725
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35.143834
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License Number State | OH
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