PRIVIA MEDICAL GROUP LLC NPI 1457187718

NPI Information

  • NPI: 1457187718
  • Provider Name: PRIVIA MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 2400 LONGSTONE LN STE 106
    MARRIOTTSVILLE, MD
    ZIP 21104
  • Phone: (410) 770-2793

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NPI Details

PRIVIA MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Marriottsville, MD. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PRIVIA MEDICAL GROUP, LLC NPI is 1457187718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 LONGSTONE LN STE 106
MARRIOTTSVILLE, MD
ZIP 21104-532
Phone: (410) 770-2793

The provider's authorized official is Maria Gabbai .
The authorized official title is Enrollment Manager and has the following contact phone number (484) 569-9066.

The enumeration date for this NPI number is 9/12/2024 and was last updated on 9/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 3/30/2025

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