MEDICARE: SHOBHA SIKKA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	D71550	MD
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	D71550	MD

General Provider Information

NPI Number	:	1255360624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOBHA SIKKA MD

Provider Business Mailing Address
First Line	:	8714 HICKORY BEND TRL
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-2557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5530 WISCONSIN AVE STE 914
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-4330
Country	:	US
Telephone Number	:	301-652-1231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/07/2018

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