Provider Demographics
NPI:1629146550
Name:SKELO, ANNA SADIKA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:SADIKA
Last Name:SKELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 CHARLOTTE PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5016
Mailing Address - Country:US
Mailing Address - Phone:615-385-2020
Mailing Address - Fax:615-385-5591
Practice Address - Street 1:7135 CHARLOTTE PIKE STE 101
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5016
Practice Address - Country:US
Practice Address - Phone:615-385-2020
Practice Address - Fax:615-385-5591
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD38500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7498558OtherAETNA
TN11301973OtherCAQH
TN4091372OtherBCBS
TN3725700Medicaid
TN7498558OtherAETNA
TN3725700Medicare PIN