Provider Demographics
NPI:1255415360
Name:SHANKAR, SADHNA (MD, MPH)
Entity type:Individual
Prefix:
First Name:SADHNA
Middle Name:
Last Name:SHANKAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW STE 6004WW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2916
Mailing Address - Country:US
Mailing Address - Phone:202-476-2800
Mailing Address - Fax:202-476-5685
Practice Address - Street 1:111 MICHIGAN AVE NW STE 6004WW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-2800
Practice Address - Fax:202-476-5685
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD064506L2080P0207X
TNMD308742080P0207X
DC0385982080P0207X
VA01012471822080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G86389Medicare UPIN