NPI 1124558408
Diana Shustarovich, MD
Practice location
- Address
- 1850 Town Center Pkwy STE 650, Reston, VA 20190-3300
- Phone
- (703) 955-5978
- Mailing address
- 3401 Sherman Ave NW Unit a, Washington, DC 20010-3600
Registered specialties (3)
Obstetrics & Gynecology Physician
Primary
Obstetrics & Gynecology Physician
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1124558408
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Jun 2017
- Record last updated
- 8 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.