Provider Demographics
NPI:1083727705
Name:SINKFORD, STANLEY MCCLELLAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:MCCLELLAN
Last Name:SINKFORD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 VERBENA ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1048
Mailing Address - Country:US
Mailing Address - Phone:202-270-7410
Mailing Address - Fax:
Practice Address - Street 1:805 WASHINGTON BLVD S
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4611
Practice Address - Country:US
Practice Address - Phone:301-686-5437
Practice Address - Fax:301-686-5438
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD54625208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD353291701Medicaid
DC017340700Medicaid
DC00A078S58Medicare PIN
MD00A0785S58Medicare ID - Type Unspecified