National Provider Identifier Database

PRIVIA MEDICAL GROUP LLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

PRIVIA MEDICAL GROUP, LLC
121 CONGRESSIONAL LN STE 403
ROCKVILLE, MD20852-1542
Phone: 240-630-2188
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Pain Medicine 2084P2900X

* Indicates primary specialty

NPI Profile & details for PRIVIA MEDICAL GROUP, LLC

NPI Number 1679335269
Legal business name
LBN
PRIVIA MEDICAL GROUP, LLC
Authorized official MARIA GABBAI - (ENROLLMENT MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/29/2024
Last updated 01/24/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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