NPIMap

Organization Active NPI

Potomac Valley Pediatrics

  • Pediatrics Physician
  • North Potomac, MD
National Provider Identifier
1801186622
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
POTOMAC VALLEY PEDIATRICS
Practice address
11908 Darnestown Rd
Sute G & H
North Potomac, MD 20878-2295
Phone
(301) 990-6333
Fax
(301) 519-0474
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Avneet K Bawa, M,D.NPI 1225044928
Title
Physician/ Owner
Phone
(301) 990-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

11908 Darnestown Rd
Sute G & H
North Potomac, MD 20878-2295

Mailing address

11908 Darnestown Rd
Sute G & H
North Potomac, MD 20878-2295
Phone (301) 990-6333

National Provider Directory

National Provider Directory

Locations

11908 Darnestown Rd
Ste G
North Potomac, MD 20878
Phone (301) 990-6333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1801186622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 DARNESTOWN RD",
            "address_2": "SUTE G & H",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782295",
            "telephone_number": "301-990-6333",
            "fax_number": "301-519-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 DARNESTOWN RD",
            "address_2": "SUTE G & H",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782295",
            "telephone_number": "301-990-6333",
            "fax_number": "301-519-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BAWA",
        "authorized_official_first_name": "AVNEET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "301-990-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.