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NPI Code Detail

MEDICARE: DIANA IVANOVSKI

MEDICARE: DIANA IVANOVSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1427901065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA IVANOVSKI
Provider Business Mailing Address
First Line : 4001 DUNRAVEN RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-4204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8001
Country : US
Telephone Number : 757-683-4297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ DIANA IVANOVSKI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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