Provider Demographics
NPI:1093034530
Name:SOKOLOW, ALAN EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:EUGENE
Last Name:SOKOLOW
Suffix:
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:PO BOX 2232
Mailing Address - Street 2:
Mailing Address - City:CARMEL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93924-2232
Mailing Address - Country:US
Mailing Address - Phone:831-659-5467
Mailing Address - Fax:
Practice Address - Street 1:10 RAGSDALE DR
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5793
Practice Address - Country:US
Practice Address - Phone:831-644-7409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87963207R00000X
NY140569-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine