Provider Demographics
NPI:1508161514
Name:SADIKMAN, CAREN (MD)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:
Last Name:SADIKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:
Other - Last Name:EXELBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:121 CONGRESSIONAL LN STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 CONGRESSIONAL LN STE 204
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1542
Practice Address - Country:US
Practice Address - Phone:301-545-1000
Practice Address - Fax:301-770-8750
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD61507207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology