Individual
DIANA SHUSTAROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 TOWN CENTER PKWY STE 650, RESTON, VA 20190-3300
(703) 955-5978
Mailing address
3401 SHERMAN AVE NW UNIT A, WASHINGTON, DC 20010-3600
(347) 247-8337
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101274112
VA
207V00000X
Obstetrics & Gynecology Physician
D0092078
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2017
Last updated
02/08/2022
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