Provider Demographics
NPI:1316939267
Name:SKLAR, ERIC B (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:SKLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:BRUCE
Other - Last Name:SKLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1500 N BEAUREGARD ST
Mailing Address - Street 2:#300
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1723
Mailing Address - Country:US
Mailing Address - Phone:703-845-1500
Mailing Address - Fax:703-845-1300
Practice Address - Street 1:1500 N BEAUREGARD ST
Practice Address - Street 2:#300
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1723
Practice Address - Country:US
Practice Address - Phone:703-845-1500
Practice Address - Fax:703-845-1300
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012340702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007119551Medicaid
VAH82497Medicare UPIN
VA011460C62Medicare ID - Type Unspecified