| Azra Rayaz Jagani, MD | |
| 
					11125 Rockville Pike Ste 307, Rockville, MD 20852-3142  | |
| (301) 468-6171 | |
| (301) 468-6172 | 
| Full Name | Azra Rayaz Jagani | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 11125 Rockville Pike Ste 307, Rockville, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619921525 | NPI | - | NPPES | 
| 106284603 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | K6018 (Texas) | Secondary | 
| 208000000X | Pediatrics | D0091794 (Maryland) | Primary | 
| Entity Name | Privia Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298  | 
| Entity Name | Privia Care Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170616001775  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Azra Rayaz Jagani, MD 11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 Ph: (301) 468-6171  | Azra Rayaz Jagani, MD 11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 Ph: (301) 468-6171  | 
Stacy B Stryer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471  | |
Dr. Faith E. Frankel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1684 E Gude Dr, Rockville, MD 20850 Phone: 301-217-9222  | |
Avril M Houston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5600 Fishers Lane, Rockville, MD 20857 Phone: 301-443-0842  | |
Mesfin Woldesenbet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-7392 Fax: 240-826-5388  | |
Dr. Aglae Economides, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6000 Executive Blvd, Suite 625, Rockville, MD 20852 Phone: 240-314-7080  | |
Dr. Stanley J Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 East Jefferson Street, Rockville, MD 20852 Phone: 301-816-6425 Fax: 301-816-7115  | |
Paul Sergio Porras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471  |