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Diana Shustarovich, MD
Student in an Organized Health Care Education/Training Program in Reston, Virginia
NPI 1124558408

Diana Shustarovich is a Student in an Organized Health Care Education/Training Program based in Washington, VA. Diana Shustarovich practices in Reston, VA and has the professional credentials of MD. The NPI Number for Diana Shustarovich is 1124558408 and holds a License No. 0101274112 (Virginia).

The current practice location address for Diana Shustarovich is 1850 Town Center Pkwy Ste 650, Reston, VA and can be reached out via phone at 703-955-5978.

Location: 1850 Town Center Pkwy Ste 650, Reston, VA, 20010-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124558408
Provider Name
Diana Shustarovich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1850 Town Center Pkwy Ste 650, Reston, VA, 20010-3600
Phone Number
703-955-5978
Fax Number
Provider Enumeration Date
06/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1850 Town Center Pkwy Ste 650
City
Reston
State
Virginia
Zip
20190-3300
Phone Number
703-955-5978
Fax Number
person
Provider Business Mailing Address Details
Address
1850 Town Center Pkwy Ste 650
City
Reston
State
Virginia
Zip
20190-3300
Phone Number
703-955-5978
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
D0092078 (Maryland)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101274112 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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