Provider Demographics
NPI:1447254263
Name:SIKORA, ROBERT A JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:SIKORA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ROLLINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-7268
Mailing Address - Country:US
Mailing Address - Phone:540-752-6845
Mailing Address - Fax:
Practice Address - Street 1:2296 OPITZ BLVD
Practice Address - Street 2:STE 401
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3347
Practice Address - Country:US
Practice Address - Phone:703-670-3900
Practice Address - Fax:703-670-6675
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059152207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5601763OtherAETNA PPO
VA143210OtherHEALTHKEEPERS
VA4121847OtherUNITED
VA502500OtherNCPPO
VA143210OtherANTHEM BC BS
VA201305262OtherTRICARE
VA4121847OtherMAMSI
VA4121847OtherALLIANCE
VAJ858001OtherCAREFIRST BC
VA010081271Medicaid
VA3658228OtherAETNA
VA143210OtherHEALTHKEEPERS
VAG8816Medicare UPIN