MEDICARE: MICHAEL A SCHIANO M.D.

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
1	207VX0201X	Gynecologic Oncology Physician	18239	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18239	OTHER	WV	WV STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639171838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A SCHIANO M.D.

Provider Business Mailing Address
First Line	:	1 COURTNEY DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2696
Country	:	US
Telephone Number	:	304-925-4200
Fax Number	:	304-925-0483

Provider Business Practice Location Address
First Line	:	1 COURTNEY DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2696
Country	:	US
Telephone Number	:	304-925-4200
Fax Number	:	304-925-0483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/14/2013

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