Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 006178 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 0103301177 | VA |
NPI | 1073651196 |
---|---|
Provider Name | Dr. Anchal Dureja |
First Address | Sterling, VA 20166-2178 |
Second Address | Ashburn, VA 20147-7210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 15/06/2017 |