Provider Demographics
NPI:1972698066
Name:HOSS, SHERRY
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:HOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-3618
Mailing Address - Country:US
Mailing Address - Phone:202-494-1890
Mailing Address - Fax:703-462-8594
Practice Address - Street 1:8206 LEESBURG PIKE
Practice Address - Street 2:SUITE 301
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2614
Practice Address - Country:US
Practice Address - Phone:703-462-8592
Practice Address - Fax:703-462-8594
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246958207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine