# METROPOLITAN VASCULAR INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093294910
- **Authorized official:** ANISH SHAH (M.D.)
- **Authorized official phone:** (703) 763-5224

## Contact information

- **Practice address:** 3015 TECHNOLOGY PLACE, SUITE 100, WALDORF, MD 20601
- **Practice address phone:** (301) 374-8540
- **Practice address fax:** (301) 374-8541
- **Mailing address:** 14085 CROWN CT, WOODBRIDGE, VA 22193-1458
- **Mailing address phone:** (703) 763-5224
- **Mailing address fax:** (703) 763-5374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 03/08/2021