Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davita Medical Group Philadelphia, LLC

Organization Family Medicine Physician · NPI 1083157150

Davita Medical Group Philadelphia, LLC is a Family Medicine Physician in Malvern, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2476 Swedesford Rd #150
Malvern, PA 19355-1456
Phone: (844) 902-2345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X

Record details

NPI number1083157150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lipp — Shareholder · (844) 902-2345
NPI enumeratedNovember 22, 2016
Last updated in NPPESMay 11, 2017
Mailing address2476 Swedesford Rd, 150, Malvern, PA 19355-1456

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