Provider Demographics
NPI:1063472421
Name:SKLAR, GEOFFREY NEAL (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:NEAL
Last Name:SKLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25 CROSSROADS DR
Mailing Address - Street 2:STE 306
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5421
Mailing Address - Country:US
Mailing Address - Phone:410-760-9400
Mailing Address - Fax:410-787-1911
Practice Address - Street 1:6820 HOSPITAL DR STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4360
Practice Address - Country:US
Practice Address - Phone:410-760-9400
Practice Address - Fax:410-787-1911
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD42974208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD596941700Medicaid
MD731LO145OtherMEDICARE BILLING PTAN
MDF83877Medicare UPIN
MD731LO145Medicare PIN