Provider Demographics
NPI:1992887665
Name:ALLAN H SKLAR MD PC
Entity type:Organization
Organization Name:ALLAN H SKLAR MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SKLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-381-3750
Mailing Address - Street 1:PO BOX 200271
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-0271
Mailing Address - Country:US
Mailing Address - Phone:304-327-1873
Mailing Address - Fax:304-327-1878
Practice Address - Street 1:20 PHOENIX BLVD NW
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1597
Practice Address - Country:US
Practice Address - Phone:540-381-3750
Practice Address - Fax:540-381-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C10050Medicare PIN