MEDICARE: MS. SANDRA CASKIE 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	207V00000X	Obstetrics & Gynecology Physician	101037326	VA

General Provider Information

NPI Number	:	1568431815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA CASKIE M.D.

Provider Business Mailing Address
First Line	:	8110 MAPLE LAWN BLVD STE 235
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-2694
Country	:	US
Telephone Number	:	301-340-8339
Fax Number	:	301-340-9027

Provider Business Practice Location Address
First Line	:	1715 N GEORGE MASON DR
Second Line	:	SUITE 302
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3609
Country	:	US
Telephone Number	:	703-816-4152
Fax Number	:	703-527-1169

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	10/01/2018

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