PRIVIA MEDICAL GROUP, LLC; NPI #1265989925

Contact Information

PRIVIA MEDICAL GROUP, LLC

130 LUBRANO DR
SUITE 111
ANNAPOLIS, MD 21401-7038

Phone: 410-573-1436
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for PRIVIA MEDICAL GROUP, LLC

NPI #	`1265989925`
LBN Legal business name	PRIVIA MEDICAL GROUP, LLC
Authorized official	MAUREEN CLANCY - (SENIOR VICE PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/09/2016
Last updated	03/05/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PRIVIA MEDICAL GROUP, LLC

Contact Information

Specialty

Gynecology

NPI Profile & details for PRIVIA MEDICAL GROUP, LLC

Reviews for PRIVIA MEDICAL GROUP, LLC