MEDICARE: DR. SIDORELA DOCI AUD

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	237600000X	Audiologist-Hearing Aid Fitter	01574	MD
2	237600000X	Audiologist-Hearing Aid Fitter	2201001791	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861002677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDORELA DOCI AUD

Provider Business Mailing Address
First Line	:	19110 MONTGOMERY VILLAGE AVE STE 120
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-3706
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8503

Provider Business Practice Location Address
First Line	:	11800 SUNRISE VALLEY DR STE 405
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5302
Country	:	US
Telephone Number	:	703-574-8885
Fax Number	:	703-415-0045

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

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	08/04/2025

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