Individual
DIVYA ANGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 TOWN CENTER DR STE 340, RESTON, VA 20190-5912
(301) 244-9069
(301) 238-7637
Mailing address
10801 LOCKWOOD DR STE 285, SILVER SPRING, MD 20901-1556
(301) 244-9069
(301) 238-7637
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101271502
VA
390200000X
Student in an Organized Health Care Education/Training Program
AU2496291
VA
Other
Enumeration date
04/11/2017
Last updated
01/23/2024
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