DR. LOUBNA T SCALLY M.D. NPI 1447219878

NPI Information

NPI: 1447219878
Provider Name: DR. LOUBNA T SCALLY, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
405 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (575) 624-8738
Get Directions

DR. Loubna T Scally, M.D. is a radiation oncology radiology in Roswell, NM. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Loubna T Scally, M.D. NPI is 1447219878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201-209
Phone: (575) 624-8738
Fax: (575) 624-8758

The enumeration date for this NPI number is 3/23/2006 and was last updated on 9/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	21776	WEST VIRGINIA	No
2	2085R0001X	Radiology	Radiation Oncology	01063079A	INDIANA	No
3	2085R0001X	Radiology	Radiation Oncology	MD2012-0012	NEW MEXICO	Yes
4	208D00000X	General Practice		MD2012-0012	NEW MEXICO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPI & TIN	OTHER	NEW MEXICO	BCBS OF NM
2	P00381704	MEDICARE PIN	INDIANA
3	SC6032561	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
4	815500G1	MEDICARE PIN	INDIANA
5	000000506581	OTHER	INDIANA	ANTHEM PROVIDER NUMBER
6	I23519	MEDICARE UPIN	INDIANA
7	3810001728	MEDICAID	WEST VIRGINIA
8	815450GG	MEDICARE PIN	INDIANA
9	200851560	MEDICAID	INDIANA
10	9365920	OTHER	INDIANA	PHCS PID NUMBER
11	NMAAA2647	MEDICARE PIN	NEW MEXICO
12	95220771	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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