Provider Demographics
NPI:1871823468
Name:SANKAR, SHUKDEO (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUKDEO
Middle Name:
Last Name:SANKAR
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 1:5000 COX RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-968-5700
Mailing Address - Fax:
Practice Address - Street 1:8601 16TH ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2261
Practice Address - Country:US
Practice Address - Phone:301-960-4682
Practice Address - Fax:301-960-4683
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20668207RI0200X
MDD0041932207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD534991YVZMedicare PIN
MD351932YWV2Medicare PIN
MD534991ZDDBMedicare PIN