Provider Demographics
NPI:1891067138
Name:SKARULIS, MONICA C (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:C
Last Name:SKARULIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:SKARULIS
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4530 CONNECTICUT AVE NW
Mailing Address - Street 2:STE 104
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008
Mailing Address - Country:US
Mailing Address - Phone:202-361-1286
Mailing Address - Fax:
Practice Address - Street 1:4530 CONNECTICUT AVE NW
Practice Address - Street 2:STE 104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-644-9288
Practice Address - Fax:202-750-5253
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD17482207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism