Healthcare Provider Details

I. General information

NPI: 1982903498
Provider Name (Legal Business Name): KRISTIN C SOKOL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BLACKWELL RD STE 275
ROCKVILLE MD
20850-6492
US

IV. Provider business mailing address

9601 BLACKWELL RD STE 275
ROCKVILLE MD
20850-6492
US

V. Phone/Fax

Practice location:
  • Phone: 301-545-5512
  • Fax: 301-979-9090
Mailing address:
  • Phone: 301-545-5512
  • Fax: 301-979-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number261774
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberP2167
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP2167
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0084243
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: