OrganizationActive
Potomac Urology Center, LLC
NPI 1508695891 · Non-Pharmacy Dispensing Site · Manassas, VA
Provider details
- NPI number
- 1508695891
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Potomac Urology Center LLC
- Authorized official
- Pratik Desai, President
Practice location
8525 Rolling Rd Ste 220 222
Manassas, VA 20110-3647
Phone: (703) 680-2111
Fax: (571) 398-5022
Mailing address
2296 Opitz Blvd Ste 350
Woodbridge, VA 22191-3346
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.