Provider Demographics
NPI:1104955376
Name:SIKIRICA, ALISON ANNA (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ANNA
Last Name:SIKIRICA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ANNA
Other - Last Name:HEARN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10540 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2426
Mailing Address - Country:US
Mailing Address - Phone:301-949-0030
Mailing Address - Fax:301-949-0033
Practice Address - Street 1:10540 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2426
Practice Address - Country:US
Practice Address - Phone:301-949-0030
Practice Address - Fax:301-949-0033
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69813207Q00000X
DEC1-0008847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine