Healthcare Provider Details

I. General information

NPI: 1942185756
Provider Name (Legal Business Name): NATALIA WEIL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19851 OBSERVATION DR STE 455
GERMANTOWN MD
20876-4153
US

IV. Provider business mailing address

10200 GRAND CENTRAL AVE STE 220
OWINGS MILLS MD
21117-4366
US

V. Phone/Fax

Practice location:
  • Phone: 301-933-9660
  • Fax: 301-337-3520
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0010189
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: