Provider Demographics
NPI:1912357559
Name:GUIRGUIS HANNA, MARINA OLIVIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARINA
Middle Name:OLIVIA
Last Name:GUIRGUIS HANNA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:MARINA
Other - Middle Name:OLIVIA
Other - Last Name:GUIRGUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:44045 RIVERSIDE PKWY
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44045 RIVERSIDE PKWY STE 220
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5101
Practice Address - Country:US
Practice Address - Phone:703-785-8829
Practice Address - Fax:703-858-6157
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116029518207V00000X
VA0101279126207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology