Divya Angra
Dermatology in Reston, VA. Individual provider (NPI-1).
NPI number1053844530
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1053844530
- Entity type
- Individual (NPI-1)
- Name
- Divya Angra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Certification date
- Apr 30, 2021
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 0101271502 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | AU2496291 | VA |
Practice location
1860 Town Center Dr Ste 340Reston, VA 20190-5912
Phone 301-244-9069 · Fax 301-238-7637
Mailing address
10801 Lockwood Dr Ste 285Silver Spring, MD 20901-1556
Phone 301-244-9069 · Fax 301-238-7637
Other practice locations
10801 Lockwood Dr Ste 285
Silver Spring, MD 20901-1556
Silver Spring, MD 20901-1556
Phone 301-244-9069
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