NPI 1023715315

Privia Medical Group, LLC

Organisation Pain Medicine Physician Rockville, MD

Practice location

Address: 121 Congressional Ln STE 403, Rockville, MD 20852-1542
Phone: (240) 630-2188
Mailing address: 950 N Glebe Rd STE 700, Arlington, VA 22203-4173

Authorised official

Name: Susan Porter
Title: Payer Enrollment Manager
Phone: (615) 500-2199

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Maryland →

Registry record

NPI: 1023715315
Entity type: Organization
NPI issued: 8 Feb 2023
Record last updated: 8 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.