SearchVirginiaDermatology Physician

Blake Zelickson, M.D., PH.D

NPI 1902292394 · on the registry since 2015 · sole proprietor

Practice

Address
22365 Broderick Drive, Suite 115
Sterling, VA 20166
Phone
(170) 399-6400
Fax
(571) 707-8123
Organisation at this address
Mosaic Md, Pllc
Clear Dermatology
Karim Elkenawy Pllc
Loudoun Medical Group, Pc
New Beginnings Institute, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Dermatology Physician
207N00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia