Individual
DIPTI AMIT SURVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9093
(703) 639-9580
Mailing address
PO BOX 745344, ATLANTA, GA 30374-5344
(703) 689-9093
(703) 639-9580
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101253532
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2009
Last updated
05/27/2021
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