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Organization

POTOMAC UROLOGY CENTER, LLC

Active
Parent organization
POTOMAC UROLOGY CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
POTOMAC UROLOGY CENTER LLC
Authorized official
PRATIK S DESAI MD (PRESIDENT)
(703) 680-2111
Entity
Organization

Contact information

Practice address
8525 ROLLING RD STE 220 222, MANASSAS, VA 20110-3647
(703) 680-2111
(571) 398-5022
Mailing address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
07/26/2024
Last updated
09/26/2025
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