Individual
SHARON DHEUREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-0056
(703) 573-0880
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101239968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089
CAREFFIRST BCBS
VA
01
—
1501621
AETNA HMO
VA
01
—
259999
KAISER
VA
01
—
7439769
AETNA
VA
Enumeration date
11/22/2005
Last updated
02/06/2008
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