Provider Demographics
NPI:1649296849
Name:SCHARER, KATHARINE A (MD)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:A
Last Name:SCHARER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 W UNIVERSITY DRIVE
Mailing Address - Street 2:RADIOLOGY DEPT
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1831
Mailing Address - Country:US
Mailing Address - Phone:248-652-5325
Mailing Address - Fax:248-652-9731
Practice Address - Street 1:1101 W UNIVERSITY DRIVE
Practice Address - Street 2:RADIOLOGY DEPT
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1831
Practice Address - Country:US
Practice Address - Phone:248-652-5325
Practice Address - Fax:248-652-9731
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4071982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4398870Medicaid
F36447014Medicare ID - Type Unspecified
F28256Medicare UPIN