Organization · Type 2 NPI

Privia Medical Group, LLC

Allergy & Immunology Physician · Upper Marlboro, MD

NPI number 1336901958 Active

Practice location

1300 Mercantile Ln Ste 140
Upper Marlboro, MD 20774-5331

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 1336901958

Privia Medical Group, LLC's National Provider Identifier is 1336901958, issued on Jan 29, 2024. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jul 15, 2026.