Individual
DR. DANIEL RAYMOND SCANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200500110
NC
2085R0202X
Diagnostic Radiology Physician
37728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902127
—
NC
05
—
N00110
—
SC
Enumeration date
04/03/2006
Last updated
02/03/2023
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