Divya Bansal, PA-C

NPI #1407295215 in Lorton, Virginia

Provider Information

NPI Number
1407295215
Entity Type
Individual
Name
Divya Bansal, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 14, 2013
Last Updated
Mar 6, 2024

Practice Location

Address
8988 LORTON STATION BLVD, SUITE 202
City
Lorton
ZIP Code
22079-4758
Phone
(703) 372-2280

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - SurgicalSurgical

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