Provider Demographics
NPI:1831364165
Name:SCHANK, EMILY L (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:L
Last Name:SCHANK
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 1:1909 GRANBY ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-2349
Mailing Address - Country:US
Mailing Address - Phone:757-640-0022
Mailing Address - Fax:757-627-8064
Practice Address - Street 1:1909 GRANBY ST STE A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-2349
Practice Address - Country:US
Practice Address - Phone:757-640-0022
Practice Address - Fax:757-627-8064
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243236208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics