Individual
SAM SIROTNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2051
Mailing address
2101 16TH ST NW APT 319, WASHINGTON, DC 20009-6584
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0210012411
DC
Other
Enumeration date
04/06/2018
Last updated
06/20/2024
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