Individual
MARY C SCAMARDO-MITCHELL
Active
Individual
MARY C SCAMARDO-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01041417
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
01041417
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231048
ANTHEM
IN
01
—
080191954
RAILROAD MEDICARE
IN
Enumeration date
06/15/2006
Last updated
10/29/2024
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