Provider Demographics
NPI:1073651196
Name:DUREJA, ANCHAL (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANCHAL
Middle Name:
Last Name:DUREJA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23396 SUMMERSTOWN PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2178
Mailing Address - Country:US
Mailing Address - Phone:516-433-5435
Mailing Address - Fax:
Practice Address - Street 1:43810 CENTRAL STATION DR STE 160
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7210
Practice Address - Country:US
Practice Address - Phone:703-291-6334
Practice Address - Fax:703-291-8285
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006178213ES0103X
VA0103301177213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery