Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101059152 | VA |
NPI | 1447254263 |
---|---|
Provider Name | Dr. Robert A Sikora JR. |
First Address | Fredericksburg, VA 22406-7268 |
Second Address | Woodbridge, VA 22191-3347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 18/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010081271 | (05) | VA |
143210 | ANTHEM BC BS (01) | VA |
143210 | HEALTHKEEPERS (01) | VA |
201305262 | TRICARE (01) | VA |
3658228 | AETNA (01) | VA |
4121847 | ALLIANCE (01) | VA |
4121847 | MAMSI (01) | VA |
4121847 | UNITED (01) | VA |
502500 | NCPPO (01) | VA |
5601763 | AETNA PPO (01) | VA |
G8816 | (02) | VA |
J858001 | CAREFIRST BC (01) | VA |