Organization
METROPOLITAN LIVER DISEASES GASTROENTEROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD KUMAR RUSTGI M.D. (PRESIDENT)
(703) 698-9254
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 515, FAIRFAX, VA 22031-5207
(703) 698-9254
(703) 698-9256
Mailing address
8316 ARLINGTON BLVD, SUITE 515, FAIRFAX, VA 22031-5207
(703) 698-9254
(703) 698-9256
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33131
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7118
RAILROAD MEDICARE
—
Enumeration date
02/04/2007
Last updated
10/31/2007
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