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Contact Information

PRIVIA MEDICAL GROUP, LLC
701 KING FARM BLVD
ROCKVILLE, MD20850-6165
 Phone: 301-762-4646
 Fax: 301-762-6228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PRIVIA MEDICAL GROUP LLC · (Female)

NPI # 1609727585
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2026
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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