Provider Demographics
NPI:1518042993
Name:SGUIGNA, CARLA L (MD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:L
Last Name:SGUIGNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 744787
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4787
Mailing Address - Country:US
Mailing Address - Phone:301-754-3060
Mailing Address - Fax:
Practice Address - Street 1:4601 N PARK AVE
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4519
Practice Address - Country:US
Practice Address - Phone:301-656-2745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063030208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024219200Medicaid
MD343671300Medicaid
VA6727379Medicaid