Individual
DR. THOMAS SCAGNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0010
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0010
(505) 272-5821
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
311526
LA
2085R0202X
Diagnostic Radiology Physician
ME58331
FL
2085R0204X
Vascular & Interventional Radiology Physician
311526
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2022-1076
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055854100
—
FL
05
—
2500325
—
LA
Enumeration date
05/26/2006
Last updated
01/04/2024
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