Shustarovich, Diana

Shustarovich, Diana is an individual health care provider with primary practice located at 1850 Town Center Pkwy Ste 650 , Reston VA 20190-3300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Shustarovich, Diana can be contacted via phone (703) 955-5978.

Contact Information

Primary practice address
1850 Town Center Pkwy Ste 650 Reston VA 20190-3300
Phone: (703) 955-5978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101274112 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0092078 Maryland
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1124558408
LBN Legal business name Shustarovich, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Feb 8th, 2022 - about 4 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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