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Organization
METROPOLITAN VASCULAR INSTITUTE LLC
Active
Organization
METROPOLITAN VASCULAR INSTITUTE LLC
Active
Parent organization
METROPOLITAN VASCULAR INSTITUTE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN VASCULAR INSTITUTE LLC
Authorized official
ANISH P SHAH MD (CEO)
(703) 763-5224
Entity
Organization
Contact information
Practice address
3015 TECHNOLOGY PLACE SUITE 110, 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
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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