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PRIVIA MEDICAL GROUP LLC NPI 1942062328


NPI Information

NPI: 1942062328
Provider Name: PRIVIA MEDICAL GROUP, LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
20528 BOLAND FARM RD STE 109
GERMANTOWN, MD
ZIP 20876
Phone: (301) 972-3709
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PRIVIA MEDICAL GROUP, LLC is an allergy immunology in Germantown, MD. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. PRIVIA MEDICAL GROUP, LLC NPI is 1942062328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20528 BOLAND FARM RD STE 109
GERMANTOWN, MD
ZIP 20876-032
Phone: (301) 972-3709

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 1/30/2024 and was last updated on 1/30/2024.


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
1207K00000XAllergy & ImmunologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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