DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PRIVIA MEDICAL GROUP, LLC

MEDICARE: PRIVIA MEDICAL GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1427878727
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIVIA MEDICAL GROUP, LLC
Provider Business Mailing Address
First Line : 950 N GLEBE RD STE 700
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-4173
Country : US
Telephone Number : 484-569-9066
Fax Number :
Provider Business Practice Location Address
First Line : 1201 SEVEN LOCKS RD STE 111
Second Line :
City : POTOMAC
State : MD
Zip : 20854-2957
Country : US
Telephone Number : 301-762-5020
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARIA GABBAI
Credential :
Telephone Number : 484-569-9066
Provider Enumeration Date : 10/12/2024
Last Update Date : 10/12/2024

Similar Medicare Providers

1316898299 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:
1201 SEVEN LOCKS RD STE 111
POTOMAC, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569
1861891566 — CHRISTINA SCHRACK NP
Practice Location Address:
1201 SEVEN LOCKS RD STE 111
POTOMAC, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569
1235134701 — DR. PATRICIA DEAL KELLOGG MD
Practice Location Address:
1201 SEVEN LOCKS RD , STE 111
ROCKVILLE, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569
1225033731 — DR. KELLY JOYCE COWEN MD
Practice Location Address:
1201 SEVEN LOCKS RD , STE 111
ROCKVILLE, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569
1861497372 — DR. SHISHIR KUMAR KHETAN MD
Practice Location Address:
1201 SEVEN LOCKS RD , STE 111
ROCKVILLE, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569
1306841812 — DR. ASEFA JEJAW MEKONNEN MD
Practice Location Address:
1201 SEVEN LOCKS RD , STE 111
ROCKVILLE, MD
20854-2957
Practice Phone: 301-762-5020
Practice Fax: 301-294-7569

Directions to “PRIVIA MEDICAL GROUP, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.