Provider Demographics
NPI:1659526382
Name:MARKO, EMILY KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATHLEEN
Last Name:MARKO
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 1:2902 OAK SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4200
Mailing Address - Country:US
Mailing Address - Phone:703-408-0249
Mailing Address - Fax:
Practice Address - Street 1:2902 OAK SHADOW DR
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:VA
Practice Address - Zip Code:20171-4200
Practice Address - Country:US
Practice Address - Phone:703-408-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051658207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF91851Medicare UPIN