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Organization
METROPOLITAN VASCULAR INSTITUTE LLC
Active
Organization
METROPOLITAN VASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISH SHAH (M.D.)
(703) 763-5224
Entity
Organization
Contact information
Practice address
3015 TECHNOLOGY PLACE, SUITE 100, WALDORF, MD 20601
(301) 374-8540
(301) 374-8541
Mailing address
14085 CROWN CT, WOODBRIDGE, VA 22193-1458
(703) 763-5224
(703) 763-5374
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
03/08/2021
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