Individual provider · Type 1 NPI

Divya Bansal, PA-C

Physician Assistant · Lorton, VA

NPI number 1407295215 Active

Practice location

8988 Lorton Station Blvd, Suite 202
Lorton, VA 22079-4758

Fax (703) 372-2024

Mailing address

224-D Cornwall Street NW, Suite 204, Suite 403
Leesburg, VA 20176-2704

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA031036 (DC)
Surgical Physician Assistant 363AS0400X0110-004272 (VA)
Physician Assistant Primary 363A00000X0110004272 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407295215

Divya Bansal, PA-C's National Provider Identifier is 1407295215, issued on Jun 14, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lorton, VA. The record was last updated on Mar 6, 2024.