Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 24911 | AL |
Y | 204F00000X | Transplant Surgeon | C1-0008793 | DE |
N | 208200000X | Surgeon | C1-0008793 | DE |
N | 208600000X | Surgeon | C1-0008793 | DE |
NPI | 1487608667 |
---|---|
Provider Name | Velma P Scantlebury |
First Address | Newark, DE 19713-2072 |
Second Address | Newark, DE 19713-2072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 29/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00126324 | (05) | MS |
009903245 | (05) | AL |
009907925 | (05) | AL |
1163546 | (05) | LA |
17-00240 | UNITED HEALTHCARE (01) | AL |
266112800 | (05) | FL |
51512828 | BLUE CROSS (01) | AL |
F05982 | (02) |