Individual
DR. LOUBNA T SCALLY
Active
Individual
DR. LOUBNA T SCALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME156131
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101276310
VA
2085R0001X
Radiation Oncology Physician
01063079A
IN
2085R0001X
Radiation Oncology Physician
21776
WV
2085R0001X
Radiation Oncology Physician
MD2012-0012
NM
208D00000X
General Practice Physician
MD2012-0012
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506581
ANTHEM PROVIDER NUMBER
IN
05
—
200851560
—
IN
05
—
3810001728
—
WV
01
—
9365920
PHCS PID NUMBER
IN
05
—
95220771
—
NM
01
—
NPI & TIN
BCBS OF NM
NM
Enumeration date
03/23/2006
Last updated
01/23/2023
Update your record
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