MEDICARE: DR. ROBERT A SIKORA JR. M.D.

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	207KA0200X	Allergy Physician	0101059152	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5601763	OTHER	VA	AETNA PPO
2	143210	OTHER	VA	HEALTHKEEPERS
3	4121847	OTHER	VA	UNITED
4	502500	OTHER	VA	NCPPO
5	143210	OTHER	VA	ANTHEM BC BS
6	201305262	OTHER	VA	TRICARE
7	4121847	OTHER	VA	MAMSI
8	4121847	OTHER	VA	ALLIANCE
9	J858001	OTHER	VA	CAREFIRST BC
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	3658228	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1447254263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A SIKORA JR. M.D.

Provider Business Mailing Address
First Line	:	34 ROLLINGSIDE DR
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22406-7268
Country	:	US
Telephone Number	:	540-752-6845
Fax Number	:

Provider Business Practice Location Address
First Line	:	2296 OPITZ BLVD
Second Line	:	STE 401
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3347
Country	:	US
Telephone Number	:	703-670-3900
Fax Number	:	703-670-6675

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/18/2014

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