Divya Bansal, PA-C
Divya Bansal, PA-C is a Physician Assistant in Lorton, Virginia. Qualified in 2013, 13 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Virginia.
- Years since qualifying
- 13
- Licensed in
- DC, VA
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
8988 Lorton Station Blvd Ste 202Lorton, VA 22079-4758
Phone: (703) 372-2280
Fax: (703) 372-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0110004272 (VA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA031036 (DC) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 0110-004272 (VA) |
Record details
| NPI number | 1407295215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 14, 2013 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |
| Mailing address | 224-D Cornwall Street Nw, Suite 204, Suite 403, Leesburg, VA 20176-2704 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Medstar Medical Group Ii Llc — 3717 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Lorton
-
Hope L Irwin, PA
9427 Lorton Market St, Lorton, VA 22079-1963 · (571) 336-7614
-
Briana Ciampi Murakami, PA
9500 Richmond Hwy, Lorton, VA 22079-2124 · (571) 800-8915