Privia Medical Group, LLC
Internal Medicine, Cardiovascular Disease in Silver Spring, MD. Organization (NPI-2).
NPI number1124986567
StatusActive
Last updated in NPPESJan 14, 2026
Details
- NPI
- 1124986567
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2026
- Certification date
- Jan 14, 2026
- Last updated
- Jan 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
Practice location
10750 Columbia Pike Ste 200Silver Spring, MD 20901-4454
Phone 202-832-1800
Mailing address
950 N Glebe RdArlington, VA 22203-1824
Phone 800-973-1442
Authorized official
Vidya P Motiram
Vp, Credentialing & Enrollment
3477541611
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