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

Davita Medical Group Philadelphia, LLC

Organization Internal Medicine Physician · NPI 1194297127

Davita Medical Group Philadelphia, LLC is an Internal Medicine Physician in Conshohocken, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
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

300 W 4th Ave Ste 260
Conshohocken, PA 19428-1607
Phone: (215) 568-4678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1194297127
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Werner — Sr. Director Of Operations · (215) 568-4678
Other names Tandigm Care Services (Bh)
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 2, 2019
Mailing address300 W 4th Ave Ste 260, Conshohocken, PA 19428-1607

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