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NPI Code Detail

MEDICARE: LUKE P SCAMARDO II MD PA

MEDICARE: LUKE P SCAMARDO II MD PA
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
1207R00000XInternal Medicine PhysicianE7502TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578732236
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUKE P SCAMARDO II MD PA
Provider Business Mailing Address
First Line : 501 E WASHINGTON AVE
Second Line :
City : NAVASOTA
State : TX
Zip : 77868-3001
Country : US
Telephone Number : 936-825-6444
Fax Number : 936-825-3340
Provider Business Practice Location Address
First Line : 501 E WASHINGTON AVE
Second Line :
City : NAVASOTA
State : TX
Zip : 77868-3001
Country : US
Telephone Number : 936-825-6444
Fax Number : 936-825-3340
Authorized Official
Title or Position : OWNER
Name : LUKE P SCAMARDO II
Credential : MD
Telephone Number : 936-825-6444
Provider Enumeration Date : 02/27/2008
Last Update Date : 03/19/2010

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Directions to “LUKE P SCAMARDO II MD PA ” Practice Location

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