Provider Demographics
NPI:1689601528
Name:SCARNATI, ERNEST PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:PETER
Last Name:SCARNATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BUSINESS PARK DRIVE
Mailing Address - Street 2:RADIOLOGY GROUP PC
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2988
Mailing Address - Country:US
Mailing Address - Phone:203-315-3326
Mailing Address - Fax:203-483-8322
Practice Address - Street 1:2447 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3211
Practice Address - Country:US
Practice Address - Phone:203-315-3326
Practice Address - Fax:203-483-8322
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0220642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001220649Medicaid
CT784315OtherCONNECTICARE
CTANC1300OtherOXFORD
CT300009184OtherRAILROAD MEDICARE
CT010022064CT03OtherANTHEM BCBS
CT0V7658OtherHEALTHNET
CT2020293OtherAETNA
CT010022064CT03OtherANTHEM BCBS
CT300004103Medicare PIN
B39416Medicare UPIN
CT300000199Medicare PIN