Provider Demographics
NPI:1043085442
Name:FALISHIA SLOAN M.D., P.C.
Entity Type:Organization
Organization Name:FALISHIA SLOAN M.D., P.C.
Other - Org Name:SOMATUS MEDICAL GROUP OF CALIFORNIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FALISHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-424-4760
Mailing Address - Street 1:1861 INTERNATIONAL DR STE 600
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4420
Mailing Address - Country:US
Mailing Address - Phone:715-992-0600
Mailing Address - Fax:
Practice Address - Street 1:315 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1856
Practice Address - Country:US
Practice Address - Phone:571-992-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty