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Divya Bansal, PA-C
NPI 1407295215 · on the registry since 2013
Practice
- Address
- 8988 Lorton Station Blvd, Suite 202
Lorton, VA 22079 - Phone
- (703) 372-2280
- Fax
- (703) 372-2024
- Organisation at this address
- Kc Pharmacy Llc
Sentara Medical Group
Loudoun Medical Group, Pc
Privia Medical Group, Llc
Loudoun Medical Group, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Surgical Physician Assistant - Licence states on file
- DC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia