DIVYA BANSAL, PA-C

Physician Assistant

Active Individual
NPI: 1407295215

Practice Address

8988 LORTON STATION BLVD, SUITE 202
Lorton, VA 22079

Phone: (703) 372-2280

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 0110004272 (VA)
Physician Assistant - Surgical 363AS0400X No 0110-004272 (VA)

Frequently Asked Questions

NPI 1407295215 is the National Provider Identifier for DIVYA BANSAL, PA-C, a Physician Assistant provider located in Lorton, VA. This NPI was enumerated on June 14, 2013.
DIVYA BANSAL, PA-C practices at 8988 LORTON STATION BLVD, SUITE 202, Lorton, VA 22079.

Quick Facts

NPI
1407295215
Type
Individual
Enumerated
Jun 14, 2013
Last Updated
Mar 6, 2024

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