Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101237451 | VA |
NPI | 1073584876 |
---|---|
Provider Name | Dr. Allan H Sklar |
First Address | Roanoke, VA 24018-8645 |
Second Address | Christiansburg, VA 24073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 05/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
249356 | ANTHEM (01) | |
E62972 | (02) | |
P00402165 | MEDICARE RAILROAD (01) |