# DR. ERIC J SACKNOFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295734598
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0101239642 | VA | Yes |
| 208800000X | Urology Physician | MD-46056 | IA | — |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 07/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010281067 | — | VA |
| 05 | — | 1295734598 | — | VA |
| 01 | — | 199795 | ANTHEM | VA |
| 01 | — | 463937 | SOUTHERN HEALTH | VA |
| 01 | — | P01081069 | RAILROAD MEDICARE | VA |