IndividualActive
Sam Sirotnikov, DO
NPI 1457858409 · Anatomic Pathology & Clinical Pathology Physician · Washington, DC
Provider details
- NPI number
- 1457858409
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- D0210012411 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-2051
Approximate (ZIP-level) locationGet directions
Mailing address
2101 16th St Nw Apt 319
Washington, DC 20009-6584
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.