Angra, Divya

Angra, Divya is an individual health care provider with primary practice located at 1860 Town Center Dr Ste 340 , Reston VA 20190-5912. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Angra, Divya can be contacted via phone (301) 244-9069.

Contact Information

Primary practice address
1860 Town Center Dr Ste 340 Reston VA 20190-5912
Phone: (301) 244-9069
Fax: (301) 238-7637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X AU2496291 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101271502 Virginia

Profile Details

NPI number 1053844530
LBN Legal business name Angra, Divya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Jan 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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