Provider Demographics
NPI:1760643340
Name:MCMAHON, DOREEN ELLA (MD)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:ELLA
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1485 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4501
Mailing Address - Country:US
Mailing Address - Phone:703-760-0987
Mailing Address - Fax:703-760-0977
Practice Address - Street 1:1485 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4501
Practice Address - Country:US
Practice Address - Phone:703-760-0987
Practice Address - Fax:703-760-0977
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2010-09-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101041234207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine