Healthcare Provider Details

I. General information

NPI: 1417894890
Provider Name (Legal Business Name): DIGITROVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N UPTON ST
STERLING VA
20164-3735
US

IV. Provider business mailing address

800 N UPTON ST
STERLING VA
20164-3735
US

V. Phone/Fax

Practice location:
  • Phone: 907-665-5643
  • Fax: 833-411-2624
Mailing address:
  • Phone: 907-665-5643
  • Fax: 833-411-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. RUBAB ZEHRA
Title or Position: CEO
Credential:
Phone: 907-665-5643