Organization · Type 2 NPI

Privia Medical Group, LLC

Allergy & Immunology Physician · Waldorf, MD

NPI number 1245169978 Active

Practice location

11340 Pembrooke Sq Ste 213
Waldorf, MD 20603-4808

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000XNone listed

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1245169978

Privia Medical Group, LLC's National Provider Identifier is 1245169978, issued on May 18, 2026. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Waldorf, MD. The record was last updated on May 18, 2026.