Provider Demographics
NPI:1487608667
Name:SCANTLEBURY, VELMA P (MD)
Entity type:Individual
Prefix:
First Name:VELMA
Middle Name:P
Last Name:SCANTLEBURY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:MEDICAL ARTS PAVILION 2, SUITE 2224
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2072
Mailing Address - Country:US
Mailing Address - Phone:302-623-3866
Mailing Address - Fax:302-623-3864
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MEDICAL ARTS PAVILION 2, SUITE 2224
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-623-3866
Practice Address - Fax:302-623-3864
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL24911204F00000X
DEC1-0008793204F00000X, 208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009907925Medicaid
AL17-00240OtherUNITED HEALTHCARE
AL51512828OtherBLUE CROSS
AL009903245Medicaid
MS00126324Medicaid
LA1163546Medicaid
FL266112800Medicaid
AL051552644Medicare PIN
AL009907925Medicaid
LA1163546Medicaid