Provider Demographics
NPI:1487279246
Name:MCMAHON, SHARON (DO)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:LONGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3914 CENTREVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3289
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6354 WALKER LN STE 210
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3255
Practice Address - Country:US
Practice Address - Phone:703-971-6900
Practice Address - Fax:855-308-2338
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116034082208000000X
CA21180208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics