ALLARA MEDICAL GROUP PA – NPI #1700450558
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ALLARA MEDICAL GROUP PA is a provider located in POTOMAC, MD. NPPES has assigned the NPI number 1700450558 to ALLARA MEDICAL GROUP PA on May 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was last updated on Jan 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLARA MEDICAL GROUP PA below.

NPI Profile for
ALLARA MEDICAL GROUP PA

NPI Number
1700450558
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLARA MEDICAL GROUP PA
Primary location
9744 AVENEL FARM DR
POTOMAC, MD 20854-5407
Phone: (240) 988-3611 Fax:
Mailing address
520 BROADWAY FL 7
NEW YORK, NY 10012-4436
Phone: (201) 564-5109 Fax: (240) 201-1296
Organization Subpart
No
Authorized Official
KENNETH BLANK
MEDICAL DIRECTOR
Phone: (240) 432-5123
Updated
Certification Date
Jan 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.