Provider Demographics
NPI:1437220357
Name:HUSSNY, EMMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMAN
Middle Name:
Last Name:HUSSNY
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 1:7120 HERITAGE VILLAGE PL. SUITE 102
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:571-248-2985
Mailing Address - Fax:571-248-2976
Practice Address - Street 1:7120 HERITAGE VILLAGE PL. SUITE 102
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:571-248-2985
Practice Address - Fax:571-248-2976
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH48660Medicare UPIN