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DIVYA BANSAL PA-C

PA-C

Physician Assistant

NPI: 1407295215IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA031036(DC)0110004272(VA)
Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

0110-004272(VA)

Education

OTHER

Class of 2013

Contact & Hours

Address
8988 LORTON STATION BLVD, SUITE 202
LORTON, VA 22079

Quick Facts

NPI
1407295215
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
13

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