Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 29 days before observation
Type 2 organization · NPI 1871419622
PRIVIA MEDICAL GROUP, LLC
2084N0400X · GERMANTOWN, MD
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 2084N0400X | 2084N0400X | Primary |
| 2084P0800X | 2084P0800X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s