Bansal, Divya

Bansal, Divya is an individual health care provider with primary practice located at 8988 Lorton Station Blvd, Suite 202 , Lorton VA 22079-4758. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bansal, Divya can be contacted via phone (703) 372-2280.

Contact Information

Primary practice address
8988 Lorton Station Blvd, Suite 202 Lorton VA 22079-4758
Phone: (703) 372-2280
Fax: (703) 372-2024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA031036 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110-004272 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004272 Virginia

Profile Details

NPI number 1407295215
LBN Legal business name Bansal, Divya
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Mar 6th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407295215 NPPES
Virginia MEDICAID 30016833620001
Virginia MEDICAID 1407295215

Popular Providers