Provider Demographics
NPI:1336119189
Name:HIRANI, SUSHMA SANJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSHMA
Middle Name:SANJAY
Last Name:HIRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2944 HUNTER MILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1761
Mailing Address - Country:US
Mailing Address - Phone:571-529-6699
Mailing Address - Fax:571-210-4099
Practice Address - Street 1:2944 HUNTER MILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1761
Practice Address - Country:US
Practice Address - Phone:571-529-6699
Practice Address - Fax:571-210-4099
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2017-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101240095207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine