Dr DIVYA BANSAL is a female medical professional, specializing in Physician Assistant. She graduated in 2013.
LOUDOUN MEDICAL GROUP PC
1860 TOWN CTR DR
RESTON
VA
201905905
Tel:
| Npi | 1407295215 |
| Pac Id | 9638311194 |
| Professional Enrollment Id | I20130813000089 |
| Last Name | BANSAL |
| First Name | DIVYA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Group Practice Pac Id | 0042119661 |
| Number Of Group Practice Members | 209 |
| Line 1 Street Address | 1860 TOWN CTR DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | RESTON |
| State | VA |
| Zip Code | 201905905 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 090011 |
| Hospital Affiliation Lbn 1 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | 490040 |
| Hospital Affiliation Lbn 2 | INOVA ALEXANDRIA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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