Healthcare Provider Details

I. General information

NPI: 1720083223
Provider Name (Legal Business Name): MARK MENDEL SKLAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIR NW STE 303
WASHINGTON DC
20037-2311
US

IV. Provider business mailing address

8101 FALSTAFF RD
MC LEAN VA
22102-2730
US

V. Phone/Fax

Practice location:
  • Phone: 202-887-4769
  • Fax: 202-223-2552
Mailing address:
  • Phone: 703-893-0962
  • Fax: 202-223-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD18512
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: