Provider Demographics
NPI:1073584876
Name:SKLAR, ALLAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:H
Last Name:SKLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5026 UPLAND GAME RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8645
Mailing Address - Country:US
Mailing Address - Phone:540-797-7028
Mailing Address - Fax:540-283-4461
Practice Address - Street 1:20 PHOENIX BLVD NW
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073
Practice Address - Country:US
Practice Address - Phone:540-381-3750
Practice Address - Fax:540-381-3751
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237451207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00402165OtherMEDICARE RAILROAD
249356OtherANTHEM
249356OtherANTHEM
00X282A01Medicare PIN