Provider Demographics
NPI:1255468526
Name:SHMORHUN, EUGENE A (MD)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:A
Last Name:SHMORHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3025 HAMAKER CT
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2237
Mailing Address - Country:US
Mailing Address - Phone:703-573-6400
Mailing Address - Fax:703-641-5821
Practice Address - Street 1:3025 HAMAKER CT
Practice Address - Street 2:ST 350
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2237
Practice Address - Country:US
Practice Address - Phone:703-573-6400
Practice Address - Fax:703-641-5821
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2015-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042044207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine